Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.18 / $1,696.54 / $4,846.00	Facility		$92.18	$1,696.54	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $124.53 / $223.53	Professional		$76.06	$124.53	$223.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.74 / $36.81 / $64.26	Professional		$32.74	$36.81	$64.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,635.00 / $5,445.00	Facility		$1,636.00	$3,635.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.08 / $118.05 / $222.22	Professional		$69.08	$118.05	$222.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.95 / $93.54 / $111.52	Facility		$71.95	$93.54	$111.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $167.98 / $201.58 / $251.97	Professional		$167.98	$201.58	$251.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.93 / $402.00 / $674.63	Facility		$133.93	$402.00	$674.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $156.03 / $316.39	Professional		$88.93	$156.03	$316.39
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 $140.61 / $184.55 / $318.39	Professional		$140.61	$184.55	$318.39