Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.99 / $393.18 / $5,634.00	Facility		$152.99	$393.18	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.99 / $190.34 / $246.09	Professional		$152.99	$190.34	$246.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.97 / $147.97 / $147.97	Professional		$147.97	$147.97	$147.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.39 / $157.99 / $212.84	Professional		$126.39	$157.99	$212.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $132.06 / $192.36 / $252.96	Facility		$132.06	$192.36	$252.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $184.65 / $230.81 / $265.61	Professional		$184.65	$230.81	$265.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.65 / $270.13 / $422.00	Facility		$145.65	$270.13	$422.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.43 / $214.22 / $435.20	Professional		$146.43	$214.22	$435.20
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 $171.01 / $217.97 / $392.22	Professional		$171.01	$217.97	$392.22