Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.59 / $1,386.00 / $5,634.00	Facility		$159.59	$1,386.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.28 / $159.59 / $199.48	Professional		$138.28	$159.59	$199.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $228.72 / $228.72 / $228.72	Professional		$228.72	$228.72	$228.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.66 / $146.66 / $283.05	Facility		$146.66	$146.66	$283.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.66 / $146.66 / $202.39	Professional		$124.66	$146.66	$202.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $155.53 / $198.22 / $228.72	Facility		$155.53	$198.22	$228.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $152.47 / $181.14 / $228.72	Professional		$152.47	$181.14	$228.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.51 / $205.77 / $353.73	Professional		$158.51	$205.77	$353.73
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 $153.27 / $199.26 / $344.13	Professional		$153.27	$199.26	$344.13