Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $121.29 / $4,846.00	Facility		$68.45	$121.29	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.86 / $115.25 / $170.96	Professional		$66.86	$115.25	$170.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $100.46 / $110.39	Professional		$100.46	$100.46	$110.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $95.40 / $197.60	Professional		$59.04	$95.40	$197.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.47 / $82.25 / $151.69	Facility		$56.47	$82.25	$151.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $110.39 / $132.47 / $159.27	Professional		$110.39	$132.47	$159.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.14 / $100.14 / $100.14	Facility		$100.14	$100.14	$100.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.64 / $119.93 / $200.28	Professional		$72.64	$119.93	$200.28
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.11 / $128.44 / $317.27	Professional		$94.11	$128.44	$317.27