Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.84 / $595.26 / $11,093.00	Facility		$132.84	$595.26	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.84 / $239.10 / $475.54	Professional		$132.84	$239.10	$475.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.44 / $90.44 / $90.44	Professional		$90.44	$90.44	$90.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,140.00 / $5,948.00 / $9,462.00	Facility		$2,140.00	$5,948.00	$9,462.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.87 / $398.39 / $566.46	Professional		$241.87	$398.39	$566.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.19 / $167.96 / $304.76	Facility		$129.19	$167.96	$304.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $221.06 / $265.27 / $331.59	Professional		$221.06	$265.27	$331.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,123.45 / $1,123.45 / $1,331.74	Facility		$1,123.45	$1,123.45	$1,331.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.71 / $405.64 / $616.38	Professional		$174.71	$405.64	$616.38
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,032.00 / $10,413.00	Facility		$3,364.00	$6,032.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $365.87 / $490.04 / $907.90	Professional		$365.87	$490.04	$907.90