Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.89 / $207.69 / $5,634.00	Facility		$104.89	$207.69	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $181.28 / $220.72	Professional		$104.89	$181.28	$220.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $248.26 / $248.26 / $248.26	Professional		$248.26	$248.26	$248.26
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 $117.73 / $240.57 / $331.98	Professional		$117.73	$240.57	$331.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.31 / $136.12 / $271.88	Facility		$103.31	$136.12	$271.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.33 / $203.93 / $285.47	Professional		$177.33	$203.93	$285.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $173.49 / $277.64	Professional		$128.00	$173.49	$277.64
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 $232.45 / $293.64 / $455.89	Professional		$232.45	$293.64	$455.89