Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.94 / $543.00 / $5,634.00	Facility		$86.94	$543.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.04 / $173.69 / $290.72	Professional		$86.04	$173.69	$290.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.33 / $99.33 / $99.33	Professional		$99.33	$99.33	$99.33
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 $93.47 / $206.51 / $915.73	Professional		$93.47	$206.51	$915.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $84.43 / $121.58 / $287.93	Facility		$84.43	$121.58	$287.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $216.84 / $268.45 / $371.72	Professional		$216.84	$268.45	$371.72
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 $103.50 / $261.57 / $836.19	Professional		$103.50	$261.57	$836.19
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 $201.66 / $365.97 / $698.24	Professional		$201.66	$365.97	$698.24