Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.13 / $298.37 / $5,634.00	Facility		$92.13	$298.37	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.13 / $148.91 / $296.88	Professional		$92.13	$148.91	$296.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.88 / $195.35 / $201.76	Professional		$146.88	$195.35	$201.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.14 / $135.07 / $202.18	Professional		$93.14	$135.07	$202.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.46 / $121.75 / $141.99	Facility		$101.46	$121.75	$141.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $161.41 / $177.55 / $217.90	Professional		$161.41	$177.55	$217.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.86 / $155.02 / $244.81	Professional		$99.86	$155.02	$244.81
United Facility/Professional Facility Modifier Low / Median / High Price $866.00 / $2,291.00 / $4,426.00	Facility		$866.00	$2,291.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $135.61 / $179.50 / $309.30	Professional		$135.61	$179.50	$309.30