Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.89 / $166.18 / $4,846.00	Facility		$112.89	$166.18	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.89 / $137.19 / $187.62	Professional		$112.89	$137.19	$187.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $170.60 / $170.60 / $170.60	Professional		$170.60	$170.60	$170.60
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 $102.61 / $120.72 / $171.42	Professional		$102.61	$120.72	$171.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $147.85 / $189.27	Facility		$116.00	$147.85	$189.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.47 / $166.18 / $207.72	Professional		$138.47	$166.18	$207.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.80 / $82.80 / $82.80	Facility		$82.80	$82.80	$82.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.43 / $176.12 / $314.35	Professional		$131.43	$176.12	$314.35
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 $144.69 / $179.04 / $271.81	Professional		$144.69	$179.04	$271.81