Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.77 / $1,190.10 / $6,243.89	Facility		$157.77	$1,190.10	$6,243.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.99 / $204.68 / $241.36	Professional		$133.99	$204.68	$241.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.20 / $96.20 / $96.20	Professional		$96.20	$96.20	$96.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.00 / $5,230.00 / $8,240.00	Facility		$970.00	$5,230.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.35 / $427.93 / $672.66	Professional		$210.35	$427.93	$672.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.84 / $166.75 / $295.14	Facility		$130.84	$166.75	$295.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.56 / $245.59 / $320.33	Professional		$213.56	$245.59	$320.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,286.40 / $1,286.40 / $1,286.40	Facility		$1,286.40	$1,286.40	$1,286.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.67 / $295.70 / $507.21	Professional		$170.67	$295.70	$507.21
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $216.18 / $318.10 / $470.39	Professional		$216.18	$318.10	$470.39