Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.38 / $336.74 / $4,846.00	Facility		$181.38	$336.74	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.35 / $231.45 / $389.57	Professional		$142.35	$231.45	$389.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.94 / $117.10 / $117.10	Professional		$86.94	$117.10	$117.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $4,119.97 / $8,230.00	Facility		$600.00	$4,119.97	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.11 / $143.55 / $227.52	Professional		$88.11	$143.55	$227.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $167.29 / $217.48 / $383.28	Facility		$167.29	$217.48	$383.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $280.62 / $322.01 / $420.93	Professional		$280.62	$322.01	$420.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.08 / $319.93 / $761.00	Facility		$305.08	$319.93	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.61 / $232.47 / $461.84	Professional		$127.61	$232.47	$461.84
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 $177.39 / $285.41 / $583.82	Professional		$177.39	$285.41	$583.82