Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.88 / $1,201.98 / $3,500.00	Facility		$84.88	$1,201.98	$3,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.43 / $82.83 / $134.11	Professional		$35.43	$82.83	$134.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $34.85 / $43.57	Professional		$34.85	$34.85	$43.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.00 / $3,896.00 / $8,230.00	Facility		$949.00	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.35 / $87.14 / $182.58	Professional		$50.35	$87.14	$182.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.07 / $49.79 / $123.44	Facility		$39.07	$49.79	$123.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.21 / $100.07 / $130.82	Professional		$87.21	$100.07	$130.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.54 / $84.54 / $84.54	Facility		$84.54	$84.54	$84.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.73 / $106.55 / $211.46	Professional		$48.73	$106.55	$211.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.97 / $123.46 / $190.42	Professional		$100.97	$123.46	$190.42