Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.85 / $689.92 / $5,634.00	Facility		$97.85	$689.92	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.85 / $253.22 / $822.08	Professional		$97.85	$253.22	$822.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.39 / $89.39 / $113.25	Professional		$89.39	$89.39	$113.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $5,083.00 / $8,240.00	Facility		$800.00	$5,083.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.44 / $153.99 / $226.50	Professional		$102.44	$153.99	$226.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.60 / $117.78 / $815.67	Facility		$90.60	$117.78	$815.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $574.92 / $689.92 / $862.40	Professional		$574.92	$689.92	$862.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.35 / $761.00 / $848.27	Facility		$169.35	$761.00	$848.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.16 / $264.00 / $1,018.74	Professional		$104.16	$264.00	$1,018.74
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 $498.52 / $674.46 / $1,085.01	Professional		$498.52	$674.46	$1,085.01