Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.13 / $277.88 / $5,634.00	Facility		$156.13	$277.88	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.07 / $200.54 / $367.91	Professional		$124.07	$200.54	$367.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.56 / $238.23 / $324.20	Professional		$165.56	$238.23	$324.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.53 / $138.53 / $267.36	Facility		$138.53	$138.53	$267.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.75 / $146.50 / $210.90	Professional		$117.75	$146.50	$210.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $155.82 / $202.57 / $241.52	Facility		$155.82	$202.57	$241.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $231.57 / $273.61 / $335.34	Professional		$231.57	$273.61	$335.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.27 / $184.22 / $374.46	Professional		$131.27	$184.22	$374.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,660.00 / $10,926.00	Facility		$1,403.00	$5,660.00	$10,926.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.34 / $200.03 / $350.20	Professional		$144.34	$200.03	$350.20