Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.37 / $299.51 / $4,846.00	Facility		$122.37	$299.51	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.35 / $197.84 / $279.77	Professional		$117.35	$197.84	$279.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $153.50 / $153.50 / $323.44	Professional		$153.50	$153.50	$323.44
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 $87.83 / $109.79 / $151.51	Professional		$87.83	$109.79	$151.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.83 / $142.53 / $259.07	Facility		$111.83	$142.53	$259.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $185.39 / $222.47 / $278.08	Professional		$185.39	$222.47	$278.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.29 / $217.17 / $440.30	Professional		$109.29	$217.17	$440.30
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 $174.53 / $230.06 / $356.73	Professional		$174.53	$230.06	$356.73