Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $3,801.89 / $5,623.41	Facility		$41.69	$3,801.89	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $64.57 / $125.89	Professional		$23.99	$64.57	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $100.00 / $107.15	Professional		$60.26	$100.00	$107.15
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 $29.51 / $48.98 / $107.15	Professional		$29.51	$48.98	$107.15
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $43.65 / $70.79 / $162.18	Professional	50	$43.65	$70.79	$162.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $29.51	Facility		$28.84	$28.84	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $63.10 / $117.49	Professional		$30.90	$63.10	$117.49
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 $26.30 / $56.23 / $104.71	Professional		$26.30	$56.23	$104.71