Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.94 / $1,512.42 / $7,212.00	Facility		$133.94	$1,512.42	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.92 / $614.03 / $1,665.28	Professional		$111.92	$614.03	$1,665.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,013.65 / $1,013.65 / $1,520.47	Professional		$1,013.65	$1,013.65	$1,520.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,042.00 / $5,230.00 / $8,240.00	Facility		$1,042.00	$5,230.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.18 / $817.46 / $1,844.66	Professional		$95.18	$817.46	$1,844.66
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $142.77 / $1,226.19 / $2,766.99	Professional	50	$142.77	$1,226.19	$2,766.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.11 / $160.01 / $1,556.94	Facility		$111.11	$160.01	$1,556.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,144.45 / $1,416.94 / $1,961.91	Professional		$1,144.45	$1,416.94	$1,961.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,314.83 / $1,314.83 / $1,314.83	Facility		$1,314.83	$1,314.83	$1,314.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.69 / $555.04 / $2,400.98	Professional		$131.69	$555.04	$2,400.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $5,490.00	Facility		$2,400.00	$3,870.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,317.54 / $1,838.43 / $2,951.93	Professional		$1,317.54	$1,838.43	$2,951.93