Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.66 / $1,140.75 / $5,634.00	Facility		$52.66	$1,140.75	$5,634.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $519.87 / $519.87 / $519.87	Facility	50	$519.87	$519.87	$519.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.61 / $74.53 / $136.24	Professional		$51.61	$74.53	$136.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $149.46 / $247.50 / $255.00	Professional	50	$149.46	$247.50	$255.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.70 / $76.67 / $112.01	Professional		$58.70	$76.67	$112.01
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $88.05 / $145.61 / $191.53	Professional	50	$88.05	$145.61	$191.53
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 $46.41 / $67.73 / $101.13	Professional		$46.41	$67.73	$101.13
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $69.62 / $101.61 / $151.69	Professional	50	$69.62	$101.61	$151.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.11 / $69.00 / $103.50	Facility		$51.11	$69.00	$103.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.67 / $89.60 / $117.60	Professional		$74.67	$89.60	$117.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.70 / $60.70 / $71.95	Facility		$60.70	$60.70	$71.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.63 / $81.54 / $135.29	Professional		$58.63	$81.54	$135.29
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.97 / $81.92 / $148.68	Professional		$61.97	$81.92	$148.68