Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.69 / $1,386.00 / $7,212.00	Facility		$159.69	$1,386.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.06 / $227.24 / $376.16	Professional		$143.06	$227.24	$376.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.07 / $112.07 / $112.07	Professional		$112.07	$112.07	$112.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,943.00 / $5,117.00 / $8,240.00	Facility		$1,943.00	$5,117.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.67 / $207.32 / $353.52	Professional		$127.67	$207.32	$353.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $149.41 / $194.25 / $383.52	Facility		$149.41	$194.25	$383.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $275.27 / $308.23 / $412.91	Professional		$275.27	$308.23	$412.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.91 / $538.00 / $1,868.80	Facility		$272.91	$538.00	$1,868.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.27 / $257.05 / $435.79	Professional		$165.27	$257.05	$435.79
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 $221.26 / $281.97 / $530.54	Professional		$221.26	$281.97	$530.54