Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.15 / $233.35 / $595.66	Facility		$55.15	$233.35	$595.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.76 / $64.19 / $117.84	Professional		$44.76	$64.19	$117.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $224.24 / $224.24 / $226.48	Professional	50	$224.24	$224.24	$226.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.67 / $64.17 / $101.33	Professional		$63.67	$64.17	$101.33
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 $42.26 / $65.83 / $93.47	Professional		$42.26	$65.83	$93.47
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $63.39 / $98.74 / $140.21	Professional	50	$63.39	$98.74	$140.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.48 / $59.12 / $92.10	Facility		$45.48	$59.12	$92.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $81.06 / $101.33	Professional		$67.55	$81.06	$101.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.13 / $61.13 / $72.45	Facility		$61.13	$61.13	$72.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.13 / $75.06 / $126.79	Professional		$52.13	$75.06	$126.79
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 $57.47 / $74.94 / $141.02	Professional		$57.47	$74.94	$141.02