Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.77 / $543.00 / $5,634.00	Facility		$180.77	$543.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.97 / $256.16 / $462.28	Professional		$172.97	$256.16	$462.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.74 / $257.94 / $386.91	Professional		$114.74	$257.94	$386.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $3,399.00 / $6,008.00	Facility		$600.00	$3,399.00	$6,008.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.52 / $182.62 / $283.86	Professional		$120.52	$182.62	$283.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $176.53 / $229.49 / $270.38	Facility		$176.53	$229.49	$270.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.94 / $309.52 / $386.91	Professional		$257.94	$309.52	$386.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.76 / $255.76 / $761.00	Facility		$255.76	$255.76	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.16 / $259.10 / $464.61	Professional		$157.16	$259.10	$464.61
United Facility/Professional Facility Modifier Low / Median / High Price $538.00 / $2,811.00 / $4,128.00	Facility		$538.00	$2,811.00	$4,128.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.52 / $282.08 / $501.99	Professional		$206.52	$282.08	$501.99