Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.02 / $231.76 / $5,634.00	Facility		$71.02	$231.76	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.02 / $173.83 / $266.88	Professional		$71.02	$173.83	$266.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.75 / $50.75 / $50.75	Professional		$50.75	$50.75	$50.75
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 $90.10 / $172.54 / $296.43	Professional		$90.10	$172.54	$296.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.48 / $85.12 / $265.37	Facility		$65.48	$85.12	$265.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $193.13 / $231.76 / $289.70	Professional		$193.13	$231.76	$289.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.40 / $402.00 / $655.97	Facility		$122.40	$402.00	$655.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.95 / $222.38 / $412.56	Professional		$84.95	$222.38	$412.56
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 $179.28 / $246.91 / $399.35	Professional		$179.28	$246.91	$399.35