Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.32 / $543.00 / $5,634.00	Facility		$146.32	$543.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.32 / $300.91 / $506.45	Professional		$146.32	$300.91	$506.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.95 / $355.99 / $453.54	Professional		$323.95	$355.99	$453.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.04 / $177.04 / $341.69	Facility		$177.04	$177.04	$341.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.47 / $249.56 / $474.43	Professional		$150.47	$249.56	$474.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.78 / $206.52 / $488.97	Facility		$141.78	$206.52	$488.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $355.99 / $427.19 / $513.41	Professional		$355.99	$427.19	$513.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.90 / $356.83 / $596.16	Professional		$173.90	$356.83	$596.16
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 $292.33 / $362.49 / $593.51	Professional		$292.33	$362.49	$593.51