Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.14 / $526.75 / $5,634.00	Facility		$73.14	$526.75	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.90 / $128.72 / $248.11	Professional		$72.90	$128.72	$248.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $122.85 / $122.85 / $160.65	Professional		$122.85	$122.85	$160.65
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 $60.46 / $110.25 / $234.73	Professional		$60.46	$110.25	$234.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $88.27 / $105.25	Facility		$67.90	$88.27	$105.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $155.25 / $198.42	Professional		$135.00	$155.25	$198.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.25 / $135.25 / $135.25	Facility		$135.25	$135.25	$135.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $147.44 / $284.31	Professional		$71.48	$147.44	$284.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.99 / $150.77 / $250.73	Professional		$121.99	$150.77	$250.73