Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.23 / $346.67 / $5,634.00	Facility		$84.23	$346.67	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.86 / $272.54 / $415.24	Professional		$82.86	$272.54	$415.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.80 / $82.80 / $82.80	Professional		$82.80	$82.80	$82.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $4,119.97 / $8,230.00	Facility		$600.00	$4,119.97	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $181.69 / $374.84	Professional		$65.67	$181.69	$374.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.04 / $101.45 / $407.21	Facility		$78.04	$101.45	$407.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $288.89 / $332.22 / $433.34	Professional		$288.89	$332.22	$433.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.19 / $175.16 / $761.00	Facility		$148.19	$175.16	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.72 / $185.33 / $497.19	Professional		$92.72	$185.33	$497.19
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,174.00 / $4,426.00	Facility		$500.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.31 / $371.66 / $628.62	Professional		$267.31	$371.66	$628.62