Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.56 / $1,608.77 / $4,846.00	Facility		$63.56	$1,608.77	$4,846.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $736.56 / $2,410.21 / $10,332.84	Facility	50	$736.56	$2,410.21	$10,332.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.76 / $90.97 / $202.00	Professional		$55.76	$90.97	$202.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $83.64 / $215.08 / $509.72	Professional	50	$83.64	$215.08	$509.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.18 / $111.74 / $134.09	Professional		$72.18	$111.74	$134.09
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $127.38 / $173.75 / $201.13	Professional	50	$127.38	$173.75	$201.13
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 $49.51 / $73.31 / $115.60	Professional		$49.51	$73.31	$115.60
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $74.26 / $109.96 / $173.40	Professional	50	$74.26	$109.96	$173.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.30 / $69.29 / $111.93	Facility		$53.30	$69.29	$111.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.39 / $107.27 / $134.09	Professional		$89.39	$107.27	$134.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.56 / $74.56 / $88.39	Facility		$74.56	$74.56	$88.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.20 / $100.76 / $149.46	Professional		$64.20	$100.76	$149.46
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 $75.98 / $102.70 / $187.53	Professional		$75.98	$102.70	$187.53