Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.69 / $285.73 / $7,212.00	Facility		$131.69	$285.73	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.52 / $213.26 / $322.08	Professional		$125.52	$213.26	$322.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.84 / $85.89 / $184.05	Professional		$58.84	$85.89	$184.05
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 $94.89 / $163.84 / $254.44	Professional		$94.89	$163.84	$254.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $122.70 / $159.51 / $325.23	Facility		$122.70	$159.51	$325.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $238.11 / $268.81 / $357.17	Professional		$238.11	$268.81	$357.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.09 / $249.70 / $761.00	Facility		$228.09	$249.70	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.97 / $240.87 / $434.73	Professional		$137.97	$240.87	$434.73
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 $202.40 / $269.00 / $450.70	Professional		$202.40	$269.00	$450.70