Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $3,801.89 / $5,623.41	Facility		$117.49	$3,801.89	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $125.89 / $213.80	Professional		$74.13	$125.89	$213.80
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $524.81 / $524.81 / $524.81	Professional	50	$524.81	$524.81	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $102.33	Professional		$89.13	$89.13	$102.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,466.84 / $8,709.64	Facility		$2,454.71	$4,466.84	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $181.97	Professional		$85.11	$117.49	$181.97
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $128.82 / $173.78 / $269.15	Professional	50	$128.82	$173.78	$269.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $77.62 / $89.13	Facility		$70.79	$77.62	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $151.36 / $251.19	Facility		$89.13	$151.36	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $141.25 / $229.09	Professional		$85.11	$141.25	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,818.38 / $4,466.84	Facility		$575.44	$2,818.38	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $125.89 / $229.09	Professional		$72.44	$125.89	$229.09