Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.12 / $102.10 / $5,634.00	Facility		$52.12	$102.10	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.32 / $89.58 / $120.83	Professional		$51.32	$89.58	$120.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $44.04 / $58.41	Professional		$44.04	$44.04	$58.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $4,066.00 / $6,008.00	Facility		$600.00	$4,066.00	$6,008.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.80 / $86.26 / $136.91	Professional		$50.80	$86.26	$136.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.40 / $62.92 / $118.11	Facility		$48.40	$62.92	$118.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.08 / $97.63 / $127.62	Professional		$85.08	$97.63	$127.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.40 / $85.40 / $761.00	Facility		$85.40	$85.40	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.19 / $105.43 / $197.18	Professional		$57.19	$105.43	$197.18
United Facility/Professional Facility Modifier Low / Median / High Price $538.00 / $2,811.00 / $4,128.00	Facility		$538.00	$2,811.00	$4,128.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.05 / $117.73 / $261.70	Professional		$90.05	$117.73	$261.70