Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.15 / $410.46 / $5,634.00	Facility		$142.15	$410.46	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.15 / $198.26 / $228.65	Professional		$142.15	$198.26	$228.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $201.23 / $201.23 / $201.23	Professional		$201.23	$201.23	$201.23
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 $152.66 / $195.38 / $288.07	Professional		$152.66	$195.38	$288.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $139.34 / $202.96 / $302.41	Facility		$139.34	$202.96	$302.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $221.14 / $265.37 / $317.52	Professional		$221.14	$265.37	$317.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.58 / $188.58 / $188.58	Facility		$188.58	$188.58	$188.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.25 / $233.06 / $370.78	Professional		$160.25	$233.06	$370.78
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 $185.86 / $250.46 / $393.01	Professional		$185.86	$250.46	$393.01