Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.37 / $2,792.98 / $7,212.00	Facility		$154.37	$2,792.98	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.32 / $157.87 / $243.78	Professional		$149.32	$157.87	$243.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.87 / $140.06 / $185.24	Professional		$72.87	$140.06	$185.24
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 $162.86 / $276.70 / $373.54	Professional		$162.86	$276.70	$373.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.49 / $185.24 / $213.74	Facility		$142.49	$185.24	$213.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $142.49 / $166.44 / $213.74	Professional		$142.49	$166.44	$213.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.03 / $538.00 / $1,158.10	Facility		$178.03	$538.00	$1,158.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.22 / $225.98 / $384.03	Professional		$165.22	$225.98	$384.03
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 $141.02 / $186.81 / $320.06	Professional		$141.02	$186.81	$320.06