Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.38 / $1,793.74 / $5,634.00	Facility		$120.38	$1,793.74	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.93 / $240.60 / $575.03	Professional		$99.93	$240.60	$575.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $136.86	Professional		$98.11	$98.11	$136.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $740.96 / $3,896.00 / $8,230.00	Facility		$740.96	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.63 / $106.63 / $147.13	Professional		$90.63	$106.63	$147.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $122.64 / $147.16	Facility		$98.11	$122.64	$147.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $233.81 / $280.57 / $340.85	Professional		$233.81	$280.57	$340.85
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 $115.17 / $220.59 / $379.27	Professional		$115.17	$220.59	$379.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $3,267.00 / $4,271.00	Facility		$1,638.00	$3,267.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $201.25 / $279.27 / $472.11	Professional		$201.25	$279.27	$472.11