Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $343.39 / $7,212.00	Facility		$130.00	$343.39	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $166.31 / $304.42	Professional		$130.00	$166.31	$304.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.96 / $153.33 / $227.36	Professional		$128.96	$153.33	$227.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.00 / $3,896.00 / $8,230.00	Facility		$949.00	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.57 / $166.42 / $272.82	Professional		$108.57	$166.42	$272.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.26 / $156.34 / $186.40	Facility		$120.26	$156.34	$186.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.57 / $176.58 / $218.78	Professional		$151.57	$176.58	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.87 / $101.87 / $101.87	Facility		$101.87	$101.87	$101.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.38 / $179.68 / $359.97	Professional		$139.38	$179.68	$359.97
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 $147.30 / $186.89 / $311.95	Professional		$147.30	$186.89	$311.95