Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.51 / $437.47 / $5,634.00	Facility		$64.51	$437.47	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.66 / $82.32 / $128.25	Professional		$63.66	$82.32	$128.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.33 / $92.79 / $116.67	Professional		$77.33	$92.79	$116.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $123.52	Facility		$64.00	$64.00	$123.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $64.00 / $88.32	Professional		$54.40	$64.00	$88.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.86 / $80.42 / $114.10	Facility		$61.86	$80.42	$114.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.63 / $100.36 / $125.45	Professional		$83.63	$100.36	$125.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.04 / $103.16 / $150.09	Professional		$76.04	$103.16	$150.09
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 $74.09 / $104.87 / $176.16	Professional		$74.09	$104.87	$176.16