Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.76 / $415.48 / $5,634.00	Facility		$81.76	$415.48	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.28 / $150.47 / $204.47	Professional		$76.28	$150.47	$204.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.30 / $145.30 / $145.30	Professional		$145.30	$145.30	$145.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,399.00 / $3,677.00 / $5,445.00	Facility		$1,399.00	$3,677.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $82.10 / $122.22	Professional		$67.73	$82.10	$122.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.72 / $104.94 / $223.17	Facility		$80.72	$104.94	$223.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $164.53 / $191.25 / $246.80	Professional		$164.53	$191.25	$246.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $498.21 / $498.21 / $590.58	Facility		$498.21	$498.21	$590.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.90 / $176.43 / $304.33	Professional		$90.90	$176.43	$304.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,855.00 / $3,267.00 / $4,480.00	Facility		$1,855.00	$3,267.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.36 / $205.12 / $345.62	Professional		$156.36	$205.12	$345.62