Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.27 / $341.57 / $5,634.00	Facility		$61.27	$341.57	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.20 / $148.69 / $362.15	Professional		$62.20	$148.69	$362.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $89.99 / $95.98	Professional		$67.45	$89.99	$95.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.69 / $144.63 / $277.70	Professional		$66.69	$144.63	$277.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.19 / $83.99 / $134.99	Facility		$61.19	$83.99	$134.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $277.70 / $347.13 / $499.86	Professional		$277.70	$347.13	$499.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.69 / $111.69 / $111.69	Facility		$111.69	$111.69	$111.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.15 / $142.47 / $423.76	Professional		$73.15	$142.47	$423.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,811.00 / $4,271.00	Facility		$1,638.00	$2,811.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.33 / $255.32 / $423.79	Professional		$162.33	$255.32	$423.79