Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.70 / $783.64 / $10,716.42	Facility		$68.70	$783.64	$10,716.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.19 / $304.57 / $497.97	Professional		$68.19	$304.57	$497.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $72.20 / $114.71	Professional		$72.20	$72.20	$114.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $9,200.00 / $18,942.00	Facility		$1,614.00	$9,200.00	$18,942.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.48 / $287.04 / $556.84	Professional		$97.48	$287.04	$556.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.48 / $82.52 / $95.22	Facility		$63.48	$82.52	$95.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $355.03 / $435.84 / $544.79	Professional		$355.03	$435.84	$544.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.37 / $118.37 / $118.37	Facility		$118.37	$118.37	$118.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.11 / $173.34 / $618.69	Professional		$84.11	$173.34	$618.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,348.00 / $11,284.00	Facility		$3,932.00	$8,348.00	$11,284.00
United Facility/Professional Professional Modifier Low / Median / High Price $337.13 / $417.69 / $726.24	Professional		$337.13	$417.69	$726.24