Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.74 / $310.64 / $4,846.00	Facility		$59.74	$310.64	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.22 / $99.78 / $152.31	Professional		$61.22	$99.78	$152.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.03 / $84.03 / $84.03	Professional		$84.03	$84.03	$84.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.56 / $101.56 / $196.01	Facility		$101.56	$101.56	$196.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.01 / $114.85 / $264.99	Professional		$67.01	$114.85	$264.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.97 / $76.66 / $88.46	Facility		$58.97	$76.66	$88.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.74 / $137.69 / $172.11	Professional		$114.74	$137.69	$172.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.76 / $109.76 / $109.76	Facility		$109.76	$109.76	$109.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.60 / $127.71 / $365.35	Professional		$61.60	$127.71	$365.35
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,174.00 / $4,426.00	Facility		$933.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.39 / $127.63 / $226.76	Professional		$102.39	$127.63	$226.76