Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.71 / $273.64 / $1,185.31	Facility		$86.71	$273.64	$1,185.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $99.90 / $195.84	Professional		$75.34	$99.90	$195.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.46 / $106.54 / $133.52	Professional		$93.46	$106.54	$133.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.12 / $153.90 / $209.34	Professional		$71.12	$153.90	$209.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.77 / $102.62 / $153.93	Facility		$74.77	$102.62	$153.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.37 / $119.21 / $171.66	Professional		$95.37	$119.21	$171.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.02 / $78.02 / $92.49	Facility		$78.02	$78.02	$92.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.12 / $129.47 / $234.16	Professional		$89.12	$129.47	$234.16
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.84 / $120.76 / $210.85	Professional		$87.84	$120.76	$210.85