Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.32 / $1,386.00 / $5,634.00	Facility		$112.32	$1,386.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.99 / $200.60 / $281.99	Professional		$104.99	$200.60	$281.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.44 / $111.44 / $111.44	Professional		$111.44	$111.44	$111.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.00 / $3,399.00 / $6,008.00	Facility		$949.00	$3,399.00	$6,008.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.18 / $122.89 / $177.30	Professional		$75.18	$122.89	$177.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $94.72 / $140.52 / $162.13	Facility		$94.72	$140.52	$162.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $225.59 / $270.70 / $338.39	Professional		$225.59	$270.70	$338.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.46 / $201.46 / $201.46	Facility		$201.46	$201.46	$201.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.63 / $231.22 / $413.62	Professional		$131.63	$231.22	$413.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,811.00 / $4,271.00	Facility		$1,638.00	$2,811.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $231.22 / $292.58 / $497.67	Professional		$231.22	$292.58	$497.67