Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.12 / $88.00 / $4,846.00	Facility		$72.12	$88.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.78 / $88.00 / $117.07	Professional		$71.78	$88.00	$117.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $79.18 / $89.52	Professional		$70.84	$79.18	$89.52
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 $60.20 / $92.78 / $144.09	Professional		$60.20	$92.78	$144.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.90 / $87.82 / $112.06	Facility		$68.90	$87.82	$112.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.35 / $100.02 / $125.03	Professional		$83.35	$100.02	$125.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.55 / $61.55 / $61.55	Facility		$61.55	$61.55	$61.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $99.52 / $184.23	Professional		$69.56	$99.52	$184.23
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 $84.66 / $105.01 / $176.54	Professional		$84.66	$105.01	$176.54