Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.24 / $543.00 / $4,846.00	Facility		$103.24	$543.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.67 / $161.47 / $428.01	Professional		$90.67	$161.47	$428.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.78 / $118.78 / $118.78	Professional		$118.78	$118.78	$118.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,677.00 / $5,445.00	Facility		$1,682.00	$3,677.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.67 / $98.44 / $142.53	Professional		$83.67	$98.44	$142.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.92 / $123.53 / $428.38	Facility		$96.92	$123.53	$428.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $308.85 / $355.18 / $463.28	Professional		$308.85	$355.18	$463.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.50 / $93.50 / $93.50	Facility		$93.50	$93.50	$93.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.32 / $240.74 / $470.81	Professional		$114.32	$240.74	$470.81
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 $230.48 / $323.55 / $570.28	Professional		$230.48	$323.55	$570.28