Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.53 / $141.62 / $4,846.00	Facility		$109.53	$141.62	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.17 / $135.81 / $188.83	Professional		$106.17	$135.81	$188.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.36 / $107.36 / $107.36	Professional		$107.36	$107.36	$107.36
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 $89.74 / $124.40 / $193.19	Professional		$89.74	$124.40	$193.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $105.80 / $134.85 / $180.25	Facility		$105.80	$134.85	$180.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $132.94 / $152.88 / $199.43	Professional		$132.94	$152.88	$199.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.71 / $151.63 / $285.73	Professional		$97.71	$151.63	$285.73
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.40 / $165.06 / $290.05	Professional		$122.40	$165.06	$290.05