Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.20 / $1,395.68 / $6,856.83	Facility		$115.20	$1,395.68	$6,856.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.49 / $175.00 / $372.94	Professional		$85.49	$175.00	$372.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.22 / $90.03 / $118.71	Professional		$61.22	$90.03	$118.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,840.00 / $7,036.00	Facility		$1,636.00	$3,840.00	$7,036.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.88 / $230.16 / $541.08	Professional		$101.88	$230.16	$541.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.14 / $102.88 / $122.67	Facility		$79.14	$102.88	$122.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $264.05 / $316.86 / $394.39	Professional		$264.05	$316.86	$394.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.60 / $402.00 / $949.22	Facility		$147.60	$402.00	$949.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.13 / $218.49 / $497.00	Professional		$102.13	$218.49	$497.00
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 $245.93 / $331.04 / $558.50	Professional		$245.93	$331.04	$558.50