Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.16 / $89.64 / $151.59	Facility		$62.16	$89.64	$151.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.09 / $87.15 / $121.63	Professional		$61.09	$87.15	$121.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.54 / $114.37 / $134.55	Professional		$90.54	$114.37	$134.55
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 $50.25 / $63.41 / $89.60	Professional		$50.25	$63.41	$89.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.90 / $92.51 / $129.51	Facility		$62.90	$92.51	$129.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.70 / $107.64 / $161.46	Professional		$89.70	$107.64	$161.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.84 / $85.84 / $101.75	Facility		$85.84	$85.84	$101.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $96.80 / $162.25	Professional		$67.95	$96.80	$162.25
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 $75.84 / $98.99 / $176.95	Professional		$75.84	$98.99	$176.95