Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $3,801.89 / $5,623.41	Facility		$91.20	$3,801.89	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $181.97 / $398.11	Professional		$67.61	$181.97	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $158.49 / $169.82	Professional		$151.36	$158.49	$169.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,466.84 / $8,709.64	Facility		$2,454.71	$4,466.84	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $138.04	Professional		$57.54	$75.86	$138.04
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $87.10 / $114.82 / $208.93	Professional	50	$87.10	$114.82	$208.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $177.83 / $426.58	Facility		$114.82	$177.83	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $154.88 / $302.00	Professional		$72.44	$154.88	$302.00
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 $69.18 / $158.49 / $281.84	Professional		$69.18	$158.49	$281.84