Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.70 / $2,116.13 / $3,544.89	Facility		$88.70	$2,116.13	$3,544.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $94.24 / $153.68	Professional		$88.06	$94.24	$153.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $40.54 / $40.54	Professional		$40.54	$40.54	$40.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.00 / $5,790.87 / $8,240.00	Facility		$970.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.80 / $132.26 / $182.51	Professional		$105.80	$132.26	$182.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.90 / $120.31 / $135.08	Facility		$90.90	$120.31	$135.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.12 / $106.94 / $133.68	Professional		$89.12	$106.94	$133.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,243.79 / $2,243.79 / $2,243.79	Facility		$2,243.79	$2,243.79	$2,243.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.42 / $123.48 / $264.38	Professional		$101.42	$123.48	$264.38
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.63 / $119.24 / $176.92	Professional		$95.63	$119.24	$176.92