Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.29 / $197.20 / $5,634.00	Facility		$68.29	$197.20	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.29 / $101.76 / $148.19	Professional		$68.29	$101.76	$148.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.10 / $113.10 / $113.10	Professional		$113.10	$113.10	$113.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.84 / $90.84 / $175.32	Facility		$90.84	$90.84	$175.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $99.60 / $147.03	Professional		$72.73	$99.60	$147.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $95.85 / $155.59	Facility		$65.80	$95.85	$155.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $113.10 / $135.72 / $163.37	Professional		$113.10	$135.72	$163.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.40 / $117.14 / $176.53	Professional		$84.40	$117.14	$176.53
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.33 / $134.97 / $204.86	Professional		$100.33	$134.97	$204.86