Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.87 / $543.00 / $5,634.00	Facility		$236.87	$543.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.87 / $382.31 / $481.87	Professional		$236.87	$382.31	$481.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $385.19 / $385.19 / $385.19	Professional		$385.19	$385.19	$385.19
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 $236.00 / $339.65 / $457.57	Professional		$236.00	$339.65	$457.57
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $354.00 / $509.47 / $686.36	Professional	50	$354.00	$509.47	$686.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $230.40 / $308.45 / $535.67	Facility		$230.40	$308.45	$535.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $385.19 / $481.49 / $693.35	Professional		$385.19	$481.49	$693.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $214.57 / $546.36	Facility		$50.00	$214.57	$546.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.51 / $429.61 / $879.66	Professional		$261.51	$429.61	$879.66
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 $343.88 / $464.75 / $795.75	Professional		$343.88	$464.75	$795.75