Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.04 / $729.99 / $4,846.00	Facility		$104.04	$729.99	$4,846.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,561.92 / $3,561.92 / $3,561.92	Facility	50	$3,561.92	$3,561.92	$3,561.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.69 / $150.13 / $286.00	Professional		$61.69	$150.13	$286.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $195.12 / $195.12 / $195.12	Professional	50	$195.12	$195.12	$195.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.48 / $121.97 / $200.84	Professional		$58.48	$121.97	$200.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.13 / $249.22 / $38,639.00	Facility		$129.13	$249.22	$38,639.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.70 / $129.13 / $193.69	Professional		$67.70	$129.13	$193.69
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $101.57 / $193.69 / $290.54	Professional	50	$101.57	$193.69	$290.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.56 / $80.03 / $124.67	Facility		$61.56	$80.03	$124.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $200.84 / $241.01 / $301.26	Professional		$200.84	$241.01	$301.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.83 / $115.83 / $115.83	Facility		$115.83	$115.83	$115.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $191.67 / $488.72	Professional		$75.59	$191.67	$488.72
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,174.00 / $4,426.00	Facility		$933.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.45 / $226.66 / $446.44	Professional		$178.45	$226.66	$446.44