Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.77 / $343.39 / $5,634.00	Facility		$98.77	$343.39	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $130.88 / $263.20	Professional		$95.27	$130.88	$263.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $144.79 / $204.41	Professional		$124.00	$144.79	$204.41
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 $82.42 / $134.50 / $239.90	Professional		$82.42	$134.50	$239.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.34 / $117.44 / $140.03	Facility		$90.34	$117.44	$140.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $136.27 / $156.71 / $197.70	Professional		$136.27	$156.71	$197.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.48 / $104.48 / $104.48	Facility		$104.48	$104.48	$104.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.17 / $158.16 / $275.42	Professional		$115.17	$158.16	$275.42
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 $127.96 / $161.02 / $255.36	Professional		$127.96	$161.02	$255.36