Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.70 / $541.50 / $5,634.00	Facility		$210.70	$541.50	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.83 / $222.43 / $293.07	Professional		$184.83	$222.43	$293.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $227.03 / $227.03 / $227.03	Professional		$227.03	$227.03	$227.03
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 $148.57 / $204.05 / $281.58	Professional		$148.57	$204.05	$281.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $209.97 / $272.95 / $314.95	Facility		$209.97	$272.95	$314.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $221.89 / $245.19 / $332.84	Professional		$221.89	$245.19	$332.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.79 / $172.79 / $204.82	Facility		$172.79	$172.79	$204.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.04 / $257.75 / $432.20	Professional		$196.04	$257.75	$432.20
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 $184.27 / $239.30 / $421.59	Professional		$184.27	$239.30	$421.59