Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.41 / $147.37 / $5,634.00	Facility		$87.41	$147.37	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.16 / $112.58 / $190.96	Professional		$85.16	$112.58	$190.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.31 / $55.31 / $145.01	Professional		$55.31	$55.31	$145.01
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 $73.43 / $116.38 / $202.49	Professional		$73.43	$116.38	$202.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.66 / $105.35 / $164.34	Facility		$82.66	$105.35	$164.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.81 / $143.77 / $179.72	Professional		$119.81	$143.77	$179.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.77 / $92.77 / $92.77	Facility		$92.77	$92.77	$92.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.68 / $134.79 / $251.31	Professional		$97.68	$134.79	$251.31
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 $110.13 / $139.40 / $237.27	Professional		$110.13	$139.40	$237.27