Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $120.23 / $4,897.79	Facility		$18.20	$120.23	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $57.54 / $128.82	Professional		$14.13	$57.54	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $97.72	Professional		$57.54	$75.86	$97.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,466.84 / $8,709.64	Facility		$2,454.71	$4,466.84	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $28.84 / $100.00	Professional		$15.85	$28.84	$100.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $23.99 / $42.66 / $151.36	Professional	50	$23.99	$42.66	$151.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $17.78 / $20.42	Facility		$14.79	$17.78	$20.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $69.18 / $85.11	Professional		$63.10	$69.18	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $47.86 / $95.50	Facility		$17.38	$47.86	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $38.90 / $87.10	Professional		$16.60	$38.90	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $2,137.96 / $5,754.40	Facility		$165.96	$2,137.96	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $38.90 / $77.62	Professional		$14.13	$38.90	$77.62