Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.42 / $1,386.00 / $5,634.00	Facility		$82.42	$1,386.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.29 / $140.11 / $240.68	Professional		$69.29	$140.11	$240.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.91 / $63.91 / $63.91	Professional		$63.91	$63.91	$63.91
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 $76.18 / $138.91 / $248.47	Professional		$76.18	$138.91	$248.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.14 / $102.88 / $285.04	Facility		$79.14	$102.88	$285.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.70 / $245.64 / $307.05	Professional		$204.70	$245.64	$307.05
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 $90.45 / $187.96 / $339.65	Professional		$90.45	$187.96	$339.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $3,267.00 / $4,271.00	Facility		$1,638.00	$3,267.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.18 / $241.37 / $416.67	Professional		$145.18	$241.37	$416.67