Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.70 / $587.39 / $5,634.00	Facility		$99.70	$587.39	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.03 / $262.30 / $609.62	Professional		$97.03	$262.30	$609.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $443.49 / $443.49 / $443.49	Professional		$443.49	$443.49	$443.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.00 / $151.00 / $291.43	Facility		$151.00	$151.00	$291.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.21 / $234.05 / $520.16	Professional		$97.21	$234.05	$520.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.89 / $99.96 / $115.34	Facility		$76.89	$99.96	$115.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $421.78 / $539.36 / $647.24	Professional		$421.78	$539.36	$647.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.37 / $149.37 / $149.37	Facility		$149.37	$149.37	$149.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.17 / $210.05 / $827.04	Professional		$104.17	$210.05	$827.04
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,174.00 / $4,426.00	Facility		$933.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $336.29 / $521.15 / $869.54	Professional		$336.29	$521.15	$869.54