Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.88 / $1,139.04 / $4,846.00	Facility		$146.88	$1,139.04	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $259.49 / $956.84	Professional		$131.91	$259.49	$956.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.24 / $139.24 / $183.62	Professional		$139.24	$139.24	$183.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $3,399.00 / $6,008.00	Facility		$600.00	$3,399.00	$6,008.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.02 / $545.34 / $1,956.88	Professional		$156.02	$545.34	$1,956.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $122.41 / $159.13 / $930.88	Facility		$122.41	$159.13	$930.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $661.02 / $793.22 / $991.53	Professional		$661.02	$793.22	$991.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.35 / $674.63 / $761.00	Facility		$230.35	$674.63	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.00 / $329.97 / $1,403.83	Professional		$148.00	$329.97	$1,403.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,741.00 / $5,490.00	Facility		$1,000.00	$3,741.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $756.81 / $988.10 / $1,693.63	Professional		$756.81	$988.10	$1,693.63