Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.56 / $138.78 / $5,634.00	Facility		$82.56	$138.78	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $107.34 / $160.21	Professional		$81.84	$107.34	$160.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.78 / $113.78 / $113.78	Professional		$113.78	$113.78	$113.78
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 $69.00 / $110.52 / $192.82	Professional		$69.00	$110.52	$192.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.37 / $98.61 / $155.01	Facility		$77.37	$98.61	$155.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.83 / $129.75 / $169.25	Professional		$112.83	$129.75	$169.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Facility		$88.00	$88.00	$88.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.13 / $129.21 / $226.43	Professional		$92.13	$129.21	$226.43
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,291.00 / $4,426.00	Facility		$600.00	$2,291.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.22 / $132.46 / $209.59	Professional		$105.22	$132.46	$209.59