Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $26.52 / $43.79	Facility		$16.64	$26.52	$43.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $26.52 / $45.63	Professional		$16.64	$26.52	$45.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $53.04 / $53.04 / $81.00	Professional	50	$53.04	$53.04	$81.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $24.61 / $34.46	Professional		$17.52	$24.61	$34.46
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $37.04 / $37.04 / $37.04	Professional	50	$37.04	$37.04	$37.04
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 $15.11 / $19.16 / $28.44	Professional		$15.11	$19.16	$28.44
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $22.66 / $28.74 / $42.67	Professional	50	$22.66	$28.74	$42.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $20.89 / $33.75	Facility		$16.07	$20.89	$33.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $31.09 / $38.86	Professional		$25.91	$31.09	$38.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $18.64 / $22.10	Facility		$18.64	$18.64	$22.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $36.81 / $59.27	Professional		$20.13	$36.81	$59.27
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 $24.23 / $38.00 / $61.22	Professional		$24.23	$38.00	$61.22