Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.49 / $543.00 / $5,634.00	Facility		$108.49	$543.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.49 / $240.00 / $342.37	Professional		$108.49	$240.00	$342.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $252.42 / $252.42 / $252.42	Professional		$252.42	$252.42	$252.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.00 / $3,896.00 / $8,230.00	Facility		$949.00	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.80 / $104.75 / $161.87	Professional		$83.80	$104.75	$161.87
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $125.70 / $157.12 / $242.81	Professional	50	$125.70	$157.12	$242.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $105.92 / $141.80 / $254.21	Facility		$105.92	$141.80	$254.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $247.88 / $309.85 / $446.19	Professional		$247.88	$309.85	$446.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.67 / $214.57 / $422.00	Facility		$192.67	$214.57	$422.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.16 / $236.84 / $467.79	Professional		$107.16	$236.84	$467.79
United Facility/Professional Facility Modifier Low / Median / High Price $119.00 / $2,174.00 / $4,426.00	Facility		$119.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $214.37 / $297.45 / $548.41	Professional		$214.37	$297.45	$548.41