Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.91 / $262.45 / $5,634.00	Facility		$134.91	$262.45	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.06 / $203.89 / $297.93	Professional		$127.06	$203.89	$297.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $95.00 / $95.00	Professional		$95.00	$95.00	$95.00
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 $109.90 / $181.91 / $375.10	Professional		$109.90	$181.91	$375.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $126.26 / $164.14 / $297.05	Facility		$126.26	$164.14	$297.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $218.71 / $247.25 / $328.07	Professional		$218.71	$247.25	$328.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.95 / $221.95 / $761.00	Facility		$221.95	$221.95	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.36 / $232.19 / $431.89	Professional		$134.36	$232.19	$431.89
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,174.00 / $4,426.00	Facility		$500.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.12 / $251.66 / $414.01	Professional		$192.12	$251.66	$414.01