Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.47 / $229.84 / $5,634.00	Facility		$79.47	$229.84	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.47 / $121.35 / $166.08	Professional		$79.47	$121.35	$166.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.76 / $123.76 / $123.76	Professional		$123.76	$123.76	$123.76
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 $80.04 / $115.80 / $173.19	Professional		$80.04	$115.80	$173.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.79 / $114.76 / $186.04	Facility		$78.79	$114.76	$186.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $136.00 / $144.50 / $195.35	Professional		$136.00	$144.50	$195.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.62 / $129.62 / $129.62	Facility		$129.62	$129.62	$129.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.56 / $133.49 / $208.81	Professional		$84.56	$133.49	$208.81
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 $111.54 / $147.28 / $260.39	Professional		$111.54	$147.28	$260.39