Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.78 / $543.00 / $5,634.00	Facility		$48.78	$543.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $75.70 / $142.01	Professional		$47.53	$75.70	$142.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $79.45 / $131.00 / $470.90	Professional	50	$79.45	$131.00	$470.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $77.15 / $121.82	Professional		$41.77	$77.15	$121.82
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 $43.57 / $63.77 / $102.75	Professional		$43.57	$63.77	$102.75
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $65.34 / $95.65 / $154.12	Professional	50	$65.34	$95.65	$154.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.21 / $63.20 / $99.14	Facility		$47.21	$63.20	$99.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $97.45 / $127.91	Professional		$81.20	$97.45	$127.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.05 / $68.05 / $80.67	Facility		$68.05	$68.05	$80.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.61 / $88.07 / $130.21	Professional		$56.61	$88.07	$130.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $3,267.00 / $4,271.00	Facility		$1,638.00	$3,267.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.79 / $92.15 / $166.08	Professional		$68.79	$92.15	$166.08