Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.08 / $310.70 / $4,846.00	Facility		$122.08	$310.70	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.23 / $130.99 / $243.47	Professional		$93.23	$130.99	$243.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.30 / $196.55 / $231.23	Professional		$150.30	$196.55	$231.23
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 $78.01 / $130.32 / $247.46	Professional		$78.01	$130.32	$247.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.24 / $129.03 / $229.78	Facility		$101.24	$129.03	$229.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $165.16 / $189.52 / $247.74	Professional		$165.16	$189.52	$247.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.77 / $145.77 / $145.77	Facility		$145.77	$145.77	$145.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.83 / $153.15 / $279.08	Professional		$107.83	$153.15	$279.08
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 $117.24 / $166.16 / $264.56	Professional		$117.24	$166.16	$264.56