Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.36 / $162.84 / $5,634.00	Facility		$63.36	$162.84	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.80 / $75.45 / $106.21	Professional		$59.80	$75.45	$106.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $77.84 / $77.84	Professional		$77.84	$77.84	$77.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.31 / $66.95 / $92.39	Professional		$54.31	$66.95	$92.39
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $81.45 / $100.42 / $138.58	Professional	50	$81.45	$100.42	$138.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.78 / $95.67 / $131.31	Facility		$68.78	$95.67	$131.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.70 / $104.63 / $150.66	Professional		$83.70	$104.63	$150.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.55 / $61.55 / $72.97	Facility		$61.55	$61.55	$72.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $99.99 / $148.34	Professional		$72.37	$99.99	$148.34
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $90.71 / $162.09	Professional		$70.70	$90.71	$162.09