Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.83 / $543.00 / $5,634.00	Facility		$152.83	$543.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.55 / $176.64 / $230.86	Professional		$146.55	$176.64	$230.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.75 / $131.75 / $131.75	Professional		$131.75	$131.75	$131.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $3,896.00 / $8,230.00	Facility		$856.00	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.35 / $192.18 / $292.14	Professional		$163.35	$192.18	$292.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $143.38 / $182.74 / $224.11	Facility		$143.38	$182.74	$224.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $164.13 / $196.96 / $246.20	Professional		$164.13	$196.96	$246.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.35 / $445.35 / $445.35	Facility		$445.35	$445.35	$445.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.63 / $227.26 / $374.33	Professional		$163.63	$227.26	$374.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.46 / $217.57 / $343.02	Professional		$175.46	$217.57	$343.02