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 $89.13 / $125.89 / $213.80	Professional		$89.13	$125.89	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $112.20 / $112.20	Professional		$67.61	$112.20	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $8,317.64 / $10,471.29	Facility		$2,187.76	$8,317.64	$10,471.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $100.00 / $162.18	Professional		$74.13	$100.00	$162.18
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $112.20 / $151.36 / $245.47	Professional	50	$112.20	$151.36	$245.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $354.81 / $1,621.81	Facility		$151.36	$354.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $208.93	Professional		$93.33	$138.04	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,137.96 / $5,495.41	Facility		$549.54	$2,137.96	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $131.83 / $213.80	Professional		$91.20	$131.83	$213.80