Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.83 / $564.23 / $5,634.00	Facility		$92.83	$564.23	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.83 / $250.00 / $629.42	Professional		$92.83	$250.00	$629.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.24 / $85.24 / $113.37	Professional		$85.24	$85.24	$113.37
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $150.59 / $150.59 / $150.59	Professional	50	$150.59	$150.59	$150.59
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 $110.71 / $362.29 / $812.61	Professional		$110.71	$362.29	$812.61
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $166.06 / $543.44 / $1,218.92	Professional	50	$166.06	$543.44	$1,218.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.70 / $137.28 / $719.93	Facility		$98.70	$137.28	$719.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $521.96 / $639.66 / $921.12	Professional		$521.96	$639.66	$921.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,286.40 / $1,286.40 / $1,286.40	Facility		$1,286.40	$1,286.40	$1,286.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.28 / $213.10 / $784.28	Professional		$103.28	$213.10	$784.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $450.26 / $614.08 / $979.98	Professional		$450.26	$614.08	$979.98