Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.90 / $255.26 / $5,634.00	Facility		$87.90	$255.26	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.90 / $132.84 / $181.96	Professional		$87.90	$132.84	$181.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.44 / $137.44 / $137.44	Professional		$137.44	$137.44	$137.44
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 $88.57 / $126.42 / $187.70	Professional		$88.57	$126.42	$187.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.36 / $125.79 / $206.82	Facility		$86.36	$125.79	$206.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.04 / $181.25 / $217.16	Professional		$151.04	$181.25	$217.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.09 / $143.09 / $143.09	Facility		$143.09	$143.09	$143.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.98 / $147.10 / $229.81	Professional		$94.98	$147.10	$229.81
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 $122.88 / $161.18 / $256.45	Professional		$122.88	$161.18	$256.45