Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.50 / $315.83 / $4,846.00	Facility		$69.50	$315.83	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.50 / $102.69 / $132.84	Professional		$69.50	$102.69	$132.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.91 / $104.91 / $104.91	Professional		$104.91	$104.91	$104.91
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 $63.19 / $74.34 / $105.57	Professional		$63.19	$74.34	$105.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.34 / $90.92 / $142.26	Facility		$71.34	$90.92	$142.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.64 / $118.93 / $155.46	Professional		$103.64	$118.93	$155.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.62 / $80.62 / $80.62	Facility		$80.62	$80.62	$80.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $133.90 / $252.28	Professional		$79.80	$133.90	$252.28
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 $112.02 / $143.74 / $207.24	Professional		$112.02	$143.74	$207.24