Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.85 / $276.89 / $641.21	Facility		$44.85	$276.89	$641.21
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $202.42 / $945.60 / $2,500.00	Facility	50	$202.42	$945.60	$2,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $60.04 / $98.86	Professional		$37.17	$60.04	$98.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $184.03 / $184.03 / $184.03	Professional	50	$184.03	$184.03	$184.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $59.06 / $88.58	Professional		$46.93	$59.06	$88.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $4,097.10 / $8,230.00	Facility		$575.00	$4,097.10	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $57.56 / $86.34	Professional		$33.00	$57.56	$86.34
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $49.50 / $86.34 / $129.51	Professional	50	$49.50	$86.34	$129.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.81 / $47.85 / $77.30	Facility		$36.81	$47.85	$77.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.16 / $74.59 / $93.24	Professional		$62.16	$74.59	$93.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $66.26 / $125.29	Professional		$43.19	$66.26	$125.29
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 $50.84 / $68.09 / $121.51	Professional		$50.84	$68.09	$121.51