Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.58 / $927.00 / $7,954.00	Facility		$124.58	$927.00	$7,954.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.31 / $213.82 / $326.13	Professional		$118.31	$213.82	$326.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $198.99 / $198.99 / $300.01	Professional		$198.99	$198.99	$300.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,097.10 / $8,230.00	Facility		$856.00	$4,097.10	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.26 / $129.88 / $184.42	Professional		$88.26	$129.88	$184.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.57 / $183.20 / $283.95	Facility		$124.57	$183.20	$283.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $214.29 / $267.86 / $385.73	Professional		$214.29	$267.86	$385.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.42 / $212.42 / $251.80	Facility		$212.42	$212.42	$251.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.09 / $253.94 / $418.99	Professional		$150.09	$253.94	$418.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,855.00 / $3,267.00 / $4,480.00	Facility		$1,855.00	$3,267.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.41 / $263.08 / $471.99	Professional		$207.41	$263.08	$471.99