Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.90 / $314.67 / $5,634.00	Facility		$101.90	$314.67	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.90 / $155.21 / $217.78	Professional		$101.90	$155.21	$217.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $159.32 / $159.32 / $159.32	Professional		$159.32	$159.32	$159.32
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 $103.30 / $147.85 / $219.23	Professional		$103.30	$147.85	$219.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.09 / $145.80 / $239.88	Facility		$100.09	$145.80	$239.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $175.07 / $210.08 / $251.88	Professional		$175.07	$210.08	$251.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.10 / $171.38 / $266.35	Professional		$110.10	$171.38	$266.35
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 $147.52 / $191.93 / $336.31	Professional		$147.52	$191.93	$336.31