Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.95 / $731.00 / $7,212.00	Facility		$55.95	$731.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $141.16 / $264.25	Professional		$55.95	$141.16	$264.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $81.20 / $81.20	Professional		$81.20	$81.20	$81.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,943.00 / $5,126.00 / $8,240.00	Facility		$1,943.00	$5,126.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.08 / $147.83 / $218.19	Professional		$104.08	$147.83	$218.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.14 / $70.38 / $187.70	Facility		$54.14	$70.38	$187.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.24 / $152.76 / $207.36	Professional		$138.24	$152.76	$207.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $881.00 / $881.00 / $1,044.33	Facility		$881.00	$881.00	$1,044.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.76 / $190.81 / $336.37	Professional		$75.76	$190.81	$336.37
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 $218.60 / $273.06 / $493.67	Professional		$218.60	$273.06	$493.67