Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.63 / $1,386.00 / $4,846.00	Facility		$93.63	$1,386.00	$4,846.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,120.58 / $2,647.01 / $3,599.00	Facility	50	$1,120.58	$2,647.01	$3,599.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.66 / $152.74 / $428.28	Professional		$70.66	$152.74	$428.28
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $140.88 / $254.17 / $1,528.00	Professional	50	$140.88	$254.17	$1,528.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.36 / $99.02 / $119.79	Professional		$72.36	$99.02	$119.79
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $114.26 / $171.38 / $179.68	Professional	50	$114.26	$171.38	$179.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $9,270.00	Facility		$856.00	$4,320.00	$9,270.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.88 / $102.35 / $148.15	Professional		$81.88	$102.35	$148.15
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $122.82 / $153.52 / $222.22	Professional	50	$122.82	$153.52	$222.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.17 / $101.97 / $156.47	Facility		$76.17	$101.97	$156.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $148.35 / $185.44 / $233.66	Professional		$148.35	$185.44	$233.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.52 / $177.44 / $480.60	Professional		$82.52	$177.44	$480.60
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 $132.13 / $183.01 / $333.24	Professional		$132.13	$183.01	$333.24