Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $102.92 / $4,846.00	Facility		$41.38	$102.92	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $88.35 / $187.10	Professional		$41.38	$88.35	$187.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.28 / $99.15 / $136.19	Professional		$84.28	$99.15	$136.19
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 $53.26 / $77.80 / $112.79	Professional		$53.26	$77.80	$112.79
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $79.89 / $116.70 / $169.19	Professional	50	$79.89	$116.70	$169.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.54 / $53.45 / $62.36	Facility		$44.54	$53.45	$62.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.95 / $119.85 / $147.08	Professional		$108.95	$119.85	$147.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.93 / $85.10 / $164.07	Professional		$51.93	$85.10	$164.07
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 $82.10 / $116.48 / $185.67	Professional		$82.10	$116.48	$185.67