Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.89 / $795.40 / $5,634.00	Facility		$37.89	$795.40	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $71.22 / $181.19	Professional		$36.64	$71.22	$181.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.11 / $58.11 / $160.36	Professional		$58.11	$58.11	$160.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.25 / $39.25 / $75.75	Facility		$39.25	$39.25	$75.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.40 / $39.25 / $55.73	Professional		$31.40	$39.25	$55.73
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $47.10 / $58.87 / $83.60	Professional	50	$47.10	$58.87	$83.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.32 / $47.22 / $54.48	Facility		$36.32	$47.22	$54.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $150.65 / $184.94 / $235.90	Professional		$150.65	$184.94	$235.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $68.48 / $68.48	Facility		$68.48	$68.48	$68.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.75 / $150.74 / $243.65	Professional		$44.75	$150.74	$243.65
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,174.00 / $4,426.00	Facility		$933.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $135.94 / $165.00 / $291.81	Professional		$135.94	$165.00	$291.81