Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.49 / $238.21 / $5,634.00	Facility		$82.49	$238.21	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $140.74 / $220.32	Professional		$82.49	$140.74	$220.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.11 / $177.82 / $187.89	Professional		$135.11	$177.82	$187.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.00 / $3,896.00 / $8,230.00	Facility		$949.00	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $133.24 / $268.62	Professional		$80.48	$133.24	$268.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.07 / $108.08 / $126.10	Facility		$90.07	$108.08	$126.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $150.31 / $165.34 / $202.92	Professional		$150.31	$165.34	$202.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.41 / $150.41 / $150.41	Facility		$150.41	$150.41	$150.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.30 / $173.95 / $281.37	Professional		$110.30	$173.95	$281.37
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 $121.26 / $161.71 / $276.52	Professional		$121.26	$161.71	$276.52