Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $234.42 / $1,047.13	Facility		$93.33	$234.42	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $245.47	Professional		$77.62	$114.82	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $147.91	Professional		$74.13	$107.15	$147.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,466.84 / $8,709.64	Facility		$1,513.56	$4,466.84	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $154.88 / $239.88	Professional		$77.62	$154.88	$239.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $81.28 / $91.20	Facility		$74.13	$81.28	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $257.04	Professional		$85.11	$125.89	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $2,137.96 / $5,754.40	Facility		$199.53	$2,137.96	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $181.97	Professional		$72.44	$104.71	$181.97