Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.92 / $597.41 / $5,634.00	Facility		$96.92	$597.41	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.75 / $128.19 / $207.78	Professional		$95.75	$128.19	$207.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.73 / $118.73 / $118.73	Professional		$118.73	$118.73	$118.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,097.10 / $8,230.00	Facility		$856.00	$4,097.10	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.05 / $95.45 / $131.72	Professional		$81.05	$95.45	$131.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $94.98 / $123.47 / $186.26	Facility		$94.98	$123.47	$186.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $136.72 / $164.08 / $205.10	Professional		$136.72	$164.08	$205.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.28 / $112.28 / $133.10	Facility		$112.28	$112.28	$133.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.66 / $158.63 / $230.39	Professional		$116.66	$158.63	$230.39
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 $117.44 / $158.78 / $267.73	Professional		$117.44	$158.78	$267.73