Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.59 / $1,386.00 / $5,634.00	Facility		$118.59	$1,386.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.60 / $174.94 / $312.63	Professional		$107.60	$174.94	$312.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.86 / $334.11 / $406.42	Professional		$115.86	$334.11	$406.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,840.00 / $7,036.00	Facility		$1,636.00	$3,840.00	$7,036.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.95 / $130.91 / $203.31	Professional		$81.95	$130.91	$203.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.31 / $143.40 / $307.88	Facility		$110.31	$143.40	$307.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $222.74 / $267.29 / $334.11	Professional		$222.74	$267.29	$334.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.53 / $402.00 / $848.27	Facility		$205.53	$402.00	$848.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.62 / $189.45 / $370.74	Professional		$114.62	$189.45	$370.74
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 $161.72 / $224.67 / $397.90	Professional		$161.72	$224.67	$397.90