Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.24 / $2,060.33 / $4,846.00	Facility		$83.24	$2,060.33	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.24 / $211.66 / $259.14	Professional		$83.24	$211.66	$259.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $122.31 / $122.31 / $122.31	Professional		$122.31	$122.31	$122.31
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 $80.01 / $185.83 / $324.25	Professional		$80.01	$185.83	$324.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.20 / $137.09 / $317.88	Facility		$95.20	$137.09	$317.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $241.57 / $299.08 / $414.12	Professional		$241.57	$299.08	$414.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $280.69 / $463.95	Professional		$115.43	$280.69	$463.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,855.00 / $3,390.00 / $4,480.00	Facility		$1,855.00	$3,390.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $256.80 / $318.43 / $507.18	Professional		$256.80	$318.43	$507.18