Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.58 / $393.58 / $5,634.00	Facility		$109.58	$393.58	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.58 / $136.97 / $296.23	Professional		$109.58	$136.97	$296.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.10 / $159.62 / $222.21	Professional		$105.10	$159.62	$222.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.28 / $112.10 / $154.69	Professional		$95.28	$112.10	$154.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $106.41 / $134.71 / $161.55	Facility		$106.41	$134.71	$161.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $132.94 / $159.54 / $194.03	Professional		$132.94	$159.54	$194.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.90 / $91.90 / $108.93	Facility		$91.90	$91.90	$108.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.94 / $174.11 / $240.86	Professional		$130.94	$174.11	$240.86
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.05 / $170.71 / $284.07	Professional		$120.05	$170.71	$284.07