Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.94 / $1,916.57 / $9,908.79	Facility		$206.94	$1,916.57	$9,908.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.73 / $202.92 / $1,446.98	Professional		$87.73	$202.92	$1,446.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.60 / $95.60 / $115.94	Professional		$95.60	$95.60	$115.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.66 / $179.66 / $346.74	Facility		$179.66	$179.66	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.72 / $1,060.33 / $3,001.90	Professional		$143.72	$1,060.33	$3,001.90
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $215.59 / $1,590.51 / $4,502.85	Professional	50	$215.59	$1,590.51	$4,502.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.13 / $115.94 / $173.91	Facility		$82.13	$115.94	$173.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $792.76 / $990.95 / $1,426.97	Professional		$792.76	$990.95	$1,426.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.18 / $150.18 / $150.18	Facility		$150.18	$150.18	$150.18
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $93.86 / $93.86 / $93.86	Facility	62	$93.86	$93.86	$93.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.45 / $193.50 / $1,873.67	Professional		$101.45	$193.50	$1,873.67
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 $1,081.28 / $1,509.04 / $2,638.26	Professional		$1,081.28	$1,509.04	$2,638.26