Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.09 / $927.00 / $9,188.93	Facility		$109.09	$927.00	$9,188.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.29 / $190.90 / $759.23	Professional		$90.29	$190.90	$759.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.50 / $84.13 / $108.27	Professional		$83.50	$84.13	$108.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $5,593.00 / $8,240.00	Facility		$800.00	$5,593.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.98 / $226.68 / $613.98	Professional		$76.98	$226.68	$613.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $84.92 / $110.40 / $127.38	Facility		$84.92	$110.40	$127.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $613.98 / $736.78 / $920.97	Professional		$613.98	$736.78	$920.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.18 / $1,178.83 / $1,178.83	Facility		$158.18	$1,178.83	$1,178.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.86 / $194.44 / $1,022.14	Professional		$99.86	$194.44	$1,022.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,817.00 / $5,490.00	Facility		$1,000.00	$3,817.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $504.69 / $680.93 / $1,131.03	Professional		$504.69	$680.93	$1,131.03