Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.98 / $274.85 / $5,634.00	Facility		$63.98	$274.85	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.98 / $152.00 / $233.91	Professional		$63.98	$152.00	$233.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.63 / $162.63 / $192.68	Professional		$162.63	$162.63	$192.68
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 $57.75 / $67.95 / $116.40	Professional		$57.75	$67.95	$116.40
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $86.63 / $101.92 / $174.60	Professional	50	$86.63	$101.92	$174.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.12 / $83.16 / $149.09	Facility		$62.12	$83.16	$149.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.63 / $203.29 / $292.74	Professional		$162.63	$203.29	$292.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.37 / $178.16 / $422.00	Facility		$115.37	$178.16	$422.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.79 / $162.47 / $333.53	Professional		$74.79	$162.47	$333.53
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 $157.37 / $204.52 / $370.28	Professional		$157.37	$204.52	$370.28