Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.14 / $150.37 / $5,634.00	Facility		$23.14	$150.37	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $31.62 / $190.93	Professional		$23.14	$31.62	$190.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.47 / $22.47 / $22.47	Professional		$22.47	$22.47	$22.47
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 $64.94 / $81.18 / $115.27	Professional		$64.94	$81.18	$115.27
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $97.41 / $121.77 / $172.91	Professional	50	$97.41	$121.77	$172.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.72 / $34.38 / $47.19	Facility		$24.72	$34.38	$47.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $38.15 / $54.93	Professional		$30.52	$38.15	$54.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $99.56 / $324.08	Professional		$28.96	$99.56	$324.08
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 $29.90 / $72.50 / $348.87	Professional		$29.90	$72.50	$348.87