Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.60 / $1,386.00 / $5,634.00	Facility		$36.60	$1,386.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.60 / $54.19 / $120.23	Professional		$36.60	$54.19	$120.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $82.31 / $82.31 / $82.31	Professional	50	$82.31	$82.31	$82.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.74 / $62.17 / $78.54	Professional		$49.74	$62.17	$78.54
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $101.69 / $102.10 / $102.10	Professional	50	$101.69	$102.10	$102.10
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 $32.90 / $53.43 / $91.26	Professional		$32.90	$53.43	$91.26
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $49.36 / $80.15 / $136.88	Professional	50	$49.36	$80.15	$136.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.06 / $43.83 / $52.59	Facility		$35.06	$43.83	$52.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.36 / $62.83 / $74.93	Professional		$52.36	$62.83	$74.93
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 $42.02 / $63.67 / $101.27	Professional		$42.02	$63.67	$101.27
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 $46.89 / $61.41 / $109.81	Professional		$46.89	$61.41	$109.81