Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.19 / $842.65 / $6,967.30	Facility		$107.19	$842.65	$6,967.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.76 / $89.08 / $152.50	Professional		$49.76	$89.08	$152.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.05 / $76.98 / $107.79	Professional		$49.05	$76.98	$107.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,804.00 / $4,353.00 / $8,052.00	Facility		$1,804.00	$4,353.00	$8,052.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.42 / $82.35 / $151.65	Professional		$49.42	$82.35	$151.65
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $123.53 / $227.48	Professional	50	$74.13	$123.53	$227.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.99 / $65.98 / $76.98	Facility		$54.99	$65.98	$76.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $116.13 / $127.74 / $156.78	Professional		$116.13	$127.74	$156.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.32 / $287.32 / $287.32	Facility		$287.32	$287.32	$287.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.77 / $89.89 / $177.82	Professional		$57.77	$89.89	$177.82
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 $78.27 / $118.41 / $219.06	Professional		$78.27	$118.41	$219.06