Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.55 / $310.61 / $5,634.00	Facility		$95.55	$310.61	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.55 / $120.86 / $205.00	Professional		$95.55	$120.86	$205.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.07 / $117.28 / $121.72	Professional		$109.07	$117.28	$121.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.00 / $3,896.00 / $8,230.00	Facility		$949.00	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.36 / $99.21 / $133.93	Professional		$79.36	$99.21	$133.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.11 / $121.06 / $160.06	Facility		$83.11	$121.06	$160.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.28 / $146.60 / $168.06	Professional		$117.28	$146.60	$168.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.63 / $170.31 / $422.00	Facility		$93.63	$170.31	$422.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.92 / $133.19 / $230.10	Professional		$92.92	$133.19	$230.10
United Facility/Professional Facility Modifier Low / Median / High Price $119.00 / $2,174.00 / $4,426.00	Facility		$119.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.65 / $140.52 / $258.49	Professional		$107.65	$140.52	$258.49