Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.94 / $90.11 / $152.10	Facility		$62.94	$90.11	$152.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.39 / $87.93 / $142.37	Professional		$62.39	$87.93	$142.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $102.60 / $114.75	Professional		$90.00	$102.60	$114.75
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 $52.61 / $63.87 / $90.69	Professional		$52.61	$63.87	$90.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.21 / $92.96 / $130.13	Facility		$63.21	$92.96	$130.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $112.50 / $162.00	Professional		$90.00	$112.50	$162.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.27 / $86.27 / $102.26	Facility		$86.27	$86.27	$102.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.33 / $100.65 / $162.71	Professional		$70.33	$100.65	$162.71
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 $76.50 / $100.00 / $172.47	Professional		$76.50	$100.00	$172.47