Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.05 / $1,386.00 / $5,551.95	Facility		$64.05	$1,386.00	$5,551.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $111.65 / $249.53	Professional		$52.49	$111.65	$249.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.06 / $42.06 / $78.12	Professional		$39.06	$42.06	$78.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,840.00 / $7,747.00	Facility		$1,636.00	$3,840.00	$7,747.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.78 / $143.52 / $308.52	Professional		$47.78	$143.52	$308.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.08 / $67.70 / $268.43	Facility		$52.08	$67.70	$268.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $191.36 / $229.63 / $287.04	Professional		$191.36	$229.63	$287.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $949.22 / $949.22 / $1,125.20	Facility		$949.22	$949.22	$1,125.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.39 / $138.44 / $362.97	Professional		$59.39	$138.44	$362.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,874.00 / $5,490.00	Facility		$2,400.00	$3,874.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.09 / $263.89 / $476.81	Professional		$190.09	$263.89	$476.81