Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.03 / $1,913.70 / $8,555.87	Facility		$164.03	$1,913.70	$8,555.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $142.18 / $212.22	Professional		$68.98	$142.18	$212.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.60 / $61.88 / $92.83	Professional		$52.60	$61.88	$92.83
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 $128.61 / $160.77 / $224.39	Professional		$128.61	$160.77	$224.39
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $192.92 / $241.15 / $336.59	Professional	50	$192.92	$241.15	$336.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.00 / $91.80 / $153.00	Facility		$68.00	$91.80	$153.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $157.77 / $189.32 / $236.66	Professional		$157.77	$189.32	$236.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,610.75 / $1,610.75 / $1,610.75	Facility		$1,610.75	$1,610.75	$1,610.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.67 / $183.32 / $292.67	Professional		$87.67	$183.32	$292.67
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 $162.43 / $204.58 / $347.82	Professional		$162.43	$204.58	$347.82