Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.48 / $3,500.00 / $7,954.00	Facility		$79.48	$3,500.00	$7,954.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $160.79 / $240.49	Professional		$71.20	$160.79	$240.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.04 / $80.22 / $157.74	Professional		$66.04	$80.22	$157.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.52 / $143.52 / $276.99	Facility		$143.52	$143.52	$276.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.07 / $198.46 / $467.39	Professional		$111.07	$198.46	$467.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.94 / $86.39 / $143.47	Facility		$62.94	$86.39	$143.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.18 / $173.86 / $272.13	Professional		$151.18	$173.86	$272.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.71 / $119.71 / $119.71	Facility		$119.71	$119.71	$119.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $144.59 / $312.52	Professional		$78.79	$144.59	$312.52
United Facility/Professional Facility Modifier Low / Median / High Price $866.00 / $2,291.00 / $4,426.00	Facility		$866.00	$2,291.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.92 / $236.32 / $411.99	Professional		$168.92	$236.32	$411.99