Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.50 / $883.73 / $7,212.00	Facility		$119.50	$883.73	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.61 / $119.49 / $233.00	Professional		$66.61	$119.49	$233.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.95 / $97.30 / $145.96	Professional		$56.95	$97.30	$145.96
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 $63.12 / $100.91 / $200.24	Professional		$63.12	$100.91	$200.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.58 / $81.34 / $97.00	Facility		$62.58	$81.34	$97.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.48 / $131.65 / $166.61	Professional		$114.48	$131.65	$166.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.78 / $118.78 / $118.78	Facility		$118.78	$118.78	$118.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.53 / $136.93 / $263.29	Professional		$79.53	$136.93	$263.29
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 $107.38 / $136.36 / $213.79	Professional		$107.38	$136.36	$213.79