Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $141.25 / $4,897.79	Facility		$63.10	$141.25	$4,897.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	50	$524.81	$524.81	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $91.20 / $208.93	Professional		$52.48	$91.20	$208.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.82 / $251.19 / $426.58	Professional	50	$114.82	$251.19	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $81.28 / $123.03	Professional		$61.66	$81.28	$123.03
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $91.20 / $123.03 / $169.82	Professional	50	$91.20	$123.03	$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 $53.70 / $79.43 / $120.23	Professional		$53.70	$79.43	$120.23
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $120.23 / $177.83	Professional	50	$81.28	$120.23	$177.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $63.10 / $74.13	Facility		$51.29	$63.10	$74.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $107.15	Professional		$74.13	$95.50	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $91.20 / $154.88	Facility		$63.10	$91.20	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $81.28 / $125.89	Professional		$58.88	$81.28	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $2,137.96 / $5,754.40	Facility		$245.47	$2,137.96	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $72.44 / $125.89	Professional		$52.48	$72.44	$125.89