Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.30 / $927.00 / $8,341.79	Facility		$151.30	$927.00	$8,341.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.20 / $156.78 / $240.93	Professional		$103.20	$156.78	$240.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.04 / $128.04 / $225.14	Professional		$128.04	$128.04	$225.14
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 $114.78 / $170.24 / $271.19	Professional		$114.78	$170.24	$271.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $143.52 / $182.92 / $285.83	Facility		$143.52	$182.92	$285.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $211.09 / $242.23 / $316.64	Professional		$211.09	$242.23	$316.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.55 / $218.55 / $218.55	Facility		$218.55	$218.55	$218.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.34 / $201.01 / $359.94	Professional		$131.34	$201.01	$359.94
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 $171.55 / $231.40 / $382.41	Professional		$171.55	$231.40	$382.41