Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.19 / $178.55 / $5,634.00	Facility		$106.19	$178.55	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.35 / $146.49 / $258.55	Professional		$102.35	$146.49	$258.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $184.93 / $203.22 / $217.74	Professional		$184.93	$203.22	$217.74
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 $88.63 / $140.47 / $254.73	Professional		$88.63	$140.47	$254.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.74 / $127.06 / $151.50	Facility		$97.74	$127.06	$151.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $145.16 / $166.93 / $209.78	Professional		$145.16	$166.93	$209.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.68 / $109.68 / $109.68	Facility		$109.68	$109.68	$109.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.19 / $167.49 / $291.99	Professional		$123.19	$167.49	$291.99
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 $136.19 / $174.19 / $271.62	Professional		$136.19	$174.19	$271.62