Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.15 / $619.22 / $5,839.01	Facility		$126.15	$619.22	$5,839.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.76 / $199.21 / $301.17	Professional		$103.76	$199.21	$301.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.70 / $107.70 / $107.70	Professional		$107.70	$107.70	$107.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,111.00 / $4,320.00 / $9,270.00	Facility		$1,111.00	$4,320.00	$9,270.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.18 / $120.80 / $174.27	Professional		$98.18	$120.80	$174.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $106.49 / $138.44 / $159.74	Facility		$106.49	$138.44	$159.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $218.96 / $268.80 / $336.00	Professional		$218.96	$268.80	$336.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.57 / $198.57 / $198.57	Facility		$198.57	$198.57	$198.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.37 / $229.88 / $408.10	Professional		$129.37	$229.88	$408.10
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 $223.01 / $269.77 / $477.70	Professional		$223.01	$269.77	$477.70