Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.88 / $435.34 / $5,634.00	Facility		$93.88	$435.34	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.10 / $348.95 / $480.01	Professional		$89.10	$348.95	$480.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.15 / $93.15 / $93.15	Professional		$93.15	$93.15	$93.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $9,270.00	Facility		$856.00	$4,320.00	$9,270.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.25 / $245.81 / $491.62	Professional		$73.25	$245.81	$491.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.52 / $94.98 / $450.97	Facility		$74.52	$94.98	$450.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $334.31 / $393.30 / $491.63	Professional		$334.31	$393.30	$491.63
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 $100.95 / $334.96 / $638.94	Professional		$100.95	$334.96	$638.94
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 $395.58 / $500.44 / $795.08	Professional		$395.58	$500.44	$795.08