Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.91 / $172.07 / $9,519.66	Facility		$55.91	$172.07	$9,519.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.91 / $102.82 / $202.00	Professional		$55.91	$102.82	$202.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $170.61 / $170.61 / $170.61	Professional	50	$170.61	$170.61	$170.61
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $27.96 / $43.22 / $52.56	Professional	52	$27.96	$43.22	$52.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.14 / $103.20 / $153.47	Professional		$79.14	$103.20	$153.47
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 $44.72 / $77.20 / $127.66	Professional		$44.72	$77.20	$127.66
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $67.08 / $115.80 / $191.50	Professional	50	$67.08	$115.80	$191.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.25 / $75.90 / $87.00	Facility		$63.25	$75.90	$87.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.32 / $112.55 / $138.13	Professional		$102.32	$112.55	$138.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.30 / $98.79 / $154.99	Professional		$55.30	$98.79	$154.99
United Facility/Professional Facility Modifier Low / Median / High Price $166.52 / $2,049.00 / $4,395.00	Facility		$166.52	$2,049.00	$4,395.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.18 / $104.97 / $167.32	Professional		$77.18	$104.97	$167.32