Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $457.09 / $4,897.79	Facility		$128.82	$457.09	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $263.03 / $467.74	Professional		$109.65	$263.03	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $257.04	Professional		$239.88	$239.88	$257.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,265.80 / $8,317.64	Facility		$2,187.76	$4,265.80	$8,317.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $204.17	Professional		$89.13	$104.71	$204.17
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $134.90 / $158.49 / $302.00	Professional	50	$134.90	$158.49	$302.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $234.42 / $467.74	Facility		$114.82	$234.42	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $208.93 / $446.68	Professional		$107.15	$208.93	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $2,137.96 / $5,495.41	Facility		$251.19	$2,137.96	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $223.87 / $407.38	Professional		$107.15	$223.87	$407.38