Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.16 / $1,062.43 / $9,527.69	Facility		$122.16	$1,062.43	$9,527.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.88 / $169.31 / $674.13	Professional		$115.88	$169.31	$674.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.93 / $46.93 / $61.73	Professional		$43.93	$46.93	$61.73
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $88.34 / $88.34 / $88.34	Professional	50	$88.34	$88.34	$88.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.70 / $193.70 / $373.84	Facility		$193.70	$193.70	$373.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $309.92 / $931.71	Professional		$120.00	$309.92	$931.71
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $180.00 / $464.88 / $1,397.57	Professional	50	$180.00	$464.88	$1,397.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.12 / $141.35 / $197.88	Facility		$104.12	$141.35	$197.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $453.30 / $566.63 / $849.95	Professional		$453.30	$566.63	$849.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.74 / $181.74 / $181.74	Facility		$181.74	$181.74	$181.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.44 / $257.45 / $1,053.97	Professional		$125.44	$257.45	$1,053.97
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 $461.37 / $635.05 / $1,143.08	Professional		$461.37	$635.05	$1,143.08