Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.68 / $885.89 / $4,846.00	Facility		$68.68	$885.89	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.41 / $140.18 / $245.09	Professional		$66.41	$140.18	$245.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.99 / $93.99 / $171.23	Professional		$93.99	$93.99	$171.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.63 / $139.63 / $269.51	Facility		$139.63	$139.63	$269.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.83 / $139.63 / $209.46	Professional		$71.83	$139.63	$209.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.28 / $92.34 / $148.41	Facility		$67.28	$92.34	$148.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $171.23 / $205.48 / $308.22	Professional		$171.23	$205.48	$308.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.68 / $123.68 / $123.68	Facility		$123.68	$123.68	$123.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.92 / $183.38 / $415.71	Professional		$80.92	$183.38	$415.71
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,174.00 / $4,426.00	Facility		$933.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.43 / $192.38 / $378.90	Professional		$157.43	$192.38	$378.90