Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.88 / $4,846.00 / $11,392.48	Facility		$146.88	$4,846.00	$11,392.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.88 / $262.95 / $394.00	Professional		$146.88	$262.95	$394.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.14 / $142.29 / $292.27	Professional		$71.14	$142.29	$292.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,042.00 / $5,230.00 / $8,240.00	Facility		$1,042.00	$5,230.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.36 / $151.69 / $215.41	Professional		$121.36	$151.69	$215.41
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $182.04 / $227.55 / $323.12	Professional	50	$182.04	$227.55	$323.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.29 / $190.49 / $341.49	Facility		$142.29	$190.49	$341.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $246.97 / $308.70 / $444.54	Professional		$246.97	$308.70	$444.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $237.28 / $259.39 / $422.00	Facility		$237.28	$259.39	$422.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.16 / $264.86 / $471.90	Professional		$150.16	$264.86	$471.90
United Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $3,817.00 / $6,436.00	Facility		$629.00	$3,817.00	$6,436.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.46 / $300.16 / $504.97	Professional		$230.46	$300.16	$504.97