Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.80 / $159.79 / $5,634.00	Facility		$67.80	$159.79	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.80 / $141.47 / $186.71	Professional		$67.80	$141.47	$186.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.22 / $124.22 / $124.22	Professional		$124.22	$124.22	$124.22
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 $80.94 / $136.59 / $303.02	Professional		$80.94	$136.59	$303.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.57 / $69.29 / $212.00	Facility		$47.57	$69.29	$212.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $136.51 / $163.81 / $204.77	Professional		$136.51	$163.81	$204.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $156.25 / $295.33	Professional		$70.73	$156.25	$295.33
United Facility/Professional Professional Modifier Low / Median / High Price $136.51 / $169.19 / $288.98	Professional		$136.51	$169.19	$288.98