Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $190.55 / $4,897.79	Facility		$43.65	$190.55	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $104.71 / $251.19	Professional		$43.65	$104.71	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $100.00 / $162.18	Professional		$19.95	$100.00	$162.18
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 $54.95 / $89.13 / $147.91	Professional		$54.95	$89.13	$147.91
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $83.18 / $134.90 / $223.87	Professional	50	$83.18	$134.90	$223.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $56.23 / $63.10	Facility		$45.71	$56.23	$63.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $120.23 / $147.91	Professional		$109.65	$120.23	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $87.10 / $169.82	Professional		$51.29	$87.10	$169.82
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 $43.65 / $83.18 / $158.49	Professional		$43.65	$83.18	$158.49