Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.99 / $329.17 / $5,634.00	Facility		$113.99	$329.17	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.99 / $168.52 / $260.44	Professional		$113.99	$168.52	$260.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $233.26	Professional		$169.82	$169.82	$233.26
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 $122.49 / $163.38 / $233.86	Professional		$122.49	$163.38	$233.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.72 / $162.72 / $255.65	Facility		$111.72	$162.72	$255.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $186.61 / $223.93 / $268.43	Professional		$186.61	$223.93	$268.43
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 $126.13 / $191.71 / $313.14	Professional		$126.13	$191.71	$313.14
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 $145.94 / $199.54 / $320.48	Professional		$145.94	$199.54	$320.48