Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.47 / $168.60 / $5,634.00	Facility		$107.47	$168.60	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.62 / $107.47 / $179.32	Professional		$91.62	$107.47	$179.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.73 / $124.73 / $124.73	Professional		$124.73	$124.73	$124.73
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 $77.72 / $114.00 / $177.03	Professional		$77.72	$114.00	$177.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.56 / $128.16 / $191.39	Facility		$100.56	$128.16	$191.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $137.07 / $164.48 / $205.61	Professional		$137.07	$164.48	$205.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.72 / $138.72 / $138.72	Facility		$138.72	$138.72	$138.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.82 / $128.91 / $234.15	Professional		$101.82	$128.91	$234.15
United Facility/Professional Facility Modifier Low / Median / High Price $729.74 / $2,715.00 / $4,078.00	Facility		$729.74	$2,715.00	$4,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.35 / $142.49 / $218.40	Professional		$97.35	$142.49	$218.40