Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.19 / $235.46 / $5,634.00	Facility		$55.19	$235.46	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.19 / $85.97 / $150.43	Professional		$55.19	$85.97	$150.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.52 / $53.52 / $53.52	Professional		$53.52	$53.52	$53.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,399.00 / $3,677.00 / $5,445.00	Facility		$1,399.00	$3,677.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.27 / $64.89 / $89.54	Professional		$54.27	$64.89	$89.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $81.40 / $97.33 / $134.32	Professional	50	$81.40	$97.33	$134.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.52 / $69.58 / $121.62	Facility		$53.52	$69.58	$121.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.01 / $106.81 / $127.70	Professional		$89.01	$106.81	$127.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $498.21 / $498.21 / $590.58	Facility		$498.21	$498.21	$590.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $118.36 / $240.79	Professional		$65.48	$118.36	$240.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $3,267.00 / $4,271.00	Facility		$1,638.00	$3,267.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.43 / $137.61 / $230.70	Professional		$87.43	$137.61	$230.70