Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.69 / $284.99 / $5,634.00	Facility		$98.69	$284.99	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.69 / $144.75 / $195.72	Professional		$98.69	$144.75	$195.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.57 / $148.57 / $198.27	Professional		$148.57	$148.57	$198.27
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 $99.74 / $141.29 / $203.91	Professional		$99.74	$141.29	$203.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.01 / $141.30 / $223.74	Facility		$97.01	$141.30	$223.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $163.27 / $195.92 / $234.92	Professional		$163.27	$195.92	$234.92
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 $107.13 / $165.99 / $273.04	Professional		$107.13	$165.99	$273.04
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 $134.47 / $182.61 / $279.02	Professional		$134.47	$182.61	$279.02