Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.60 / $587.92 / $4,846.00	Facility		$36.60	$587.92	$4,846.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $657.54 / $657.54 / $657.54	Facility	50	$657.54	$657.54	$657.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.07 / $57.36 / $139.38	Professional		$36.07	$57.36	$139.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $81.29 / $166.50 / $170.00	Professional	50	$81.29	$166.50	$170.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $65.84 / $79.11	Professional		$39.50	$65.84	$79.11
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $75.05 / $75.05 / $98.76	Professional	50	$75.05	$75.05	$98.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $740.96 / $4,119.97 / $8,230.00	Facility		$740.96	$4,119.97	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.28 / $51.38 / $98.67	Professional		$31.28	$51.38	$98.67
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $46.92 / $78.37 / $148.01	Professional	50	$46.92	$78.37	$148.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.36 / $47.36 / $71.63	Facility		$35.36	$47.36	$71.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.67 / $65.84 / $82.95	Professional		$52.67	$65.84	$82.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.01 / $39.01 / $46.25	Facility		$39.01	$39.01	$46.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.37 / $64.11 / $110.27	Professional		$42.37	$64.11	$110.27
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 $45.82 / $61.45 / $107.94	Professional		$45.82	$61.45	$107.94