Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.57 / $405.95 / $12,285.63	Facility		$110.57	$405.95	$12,285.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.38 / $164.81 / $266.45	Professional		$101.38	$164.81	$266.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.60 / $225.93 / $225.93	Professional		$133.60	$225.93	$225.93
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 $89.76 / $149.22 / $244.59	Professional		$89.76	$149.22	$244.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.77 / $133.60 / $262.52	Facility		$102.77	$133.60	$262.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $189.86 / $227.83 / $284.79	Professional		$189.86	$227.83	$284.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.17 / $192.48 / $761.00	Facility		$192.17	$192.48	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.05 / $199.26 / $339.37	Professional		$118.05	$199.26	$339.37
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 $155.19 / $200.60 / $361.06	Professional		$155.19	$200.60	$361.06