Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.72 / $323.89 / $7,212.00	Facility		$88.72	$323.89	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.60 / $111.39 / $210.10	Professional		$86.60	$111.39	$210.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.49 / $103.49 / $135.33	Professional		$103.49	$103.49	$135.33
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 $74.00 / $115.91 / $190.89	Professional		$74.00	$115.91	$190.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.75 / $106.74 / $156.63	Facility		$83.75	$106.74	$156.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $113.72 / $136.46 / $170.58	Professional		$113.72	$136.46	$170.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.30 / $89.30 / $89.30	Facility		$89.30	$89.30	$89.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.31 / $128.69 / $261.87	Professional		$93.31	$128.69	$261.87
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 $103.34 / $128.61 / $210.81	Professional		$103.34	$128.61	$210.81