Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.99 / $724.42 / $4,846.00	Facility		$124.99	$724.42	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.64 / $125.88 / $212.48	Professional		$98.64	$125.88	$212.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.82 / $118.82 / $118.82	Professional		$118.82	$118.82	$118.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.00 / $3,896.00 / $8,230.00	Facility		$949.00	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $122.32 / $189.96	Professional		$91.20	$122.32	$189.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.06 / $149.19 / $181.26	Facility		$117.06	$149.19	$181.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $130.57 / $156.68 / $195.86	Professional		$130.57	$156.68	$195.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.58 / $113.58 / $113.58	Facility		$113.58	$113.58	$113.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.51 / $148.77 / $270.00	Professional		$116.51	$148.77	$270.00
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 $105.45 / $142.49 / $221.08	Professional		$105.45	$142.49	$221.08