Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.94 / $1,604.74 / $4,846.00	Facility		$156.94	$1,604.74	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.34 / $162.08 / $217.31	Professional		$127.34	$162.08	$217.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.94 / $150.94 / $150.94	Professional		$150.94	$150.94	$150.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,677.00 / $5,608.00	Facility		$1,636.00	$3,677.00	$5,608.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.69 / $207.90 / $293.76	Professional		$144.69	$207.90	$293.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $122.03 / $158.63 / $191.31	Facility		$122.03	$158.63	$191.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.38 / $169.12 / $209.74	Professional		$147.38	$169.12	$209.74
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 $152.94 / $204.45 / $384.13	Professional		$152.94	$204.45	$384.13
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 $158.05 / $198.44 / $308.33	Professional		$158.05	$198.44	$308.33