Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.94 / $670.34 / $5,634.00	Facility		$105.94	$670.34	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $144.12 / $203.04	Professional		$103.54	$144.12	$203.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.97 / $221.93 / $255.84	Professional		$154.97	$221.93	$255.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $3,896.00 / $8,230.00	Facility		$856.00	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.55 / $104.30 / $143.93	Professional		$88.55	$104.30	$143.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.32 / $134.32 / $217.00	Facility		$103.32	$134.32	$217.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $159.09 / $190.91 / $227.85	Professional		$159.09	$190.91	$227.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.55 / $136.55 / $161.87	Facility		$136.55	$136.55	$161.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.17 / $179.41 / $265.49	Professional		$126.17	$179.41	$265.49
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 $135.99 / $186.37 / $312.37	Professional		$135.99	$186.37	$312.37