Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.48 / $222.24 / $5,634.00	Facility		$108.48	$222.24	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $139.08 / $192.45	Professional		$104.49	$139.08	$192.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.71 / $101.71 / $101.71	Professional		$101.71	$101.71	$101.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $5,757.57 / $8,240.00	Facility		$800.00	$5,757.57	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.29 / $138.90 / $247.39	Professional		$88.29	$138.90	$247.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.08 / $131.40 / $180.95	Facility		$101.08	$131.40	$180.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.50 / $157.80 / $197.25	Professional		$131.50	$157.80	$197.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.55 / $123.55 / $761.00	Facility		$123.55	$123.55	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.13 / $170.33 / $285.17	Professional		$114.13	$170.33	$285.17
United Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $3,817.00 / $5,402.00	Facility		$900.00	$3,817.00	$5,402.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.41 / $161.12 / $266.16	Professional		$126.41	$161.12	$266.16