Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $91.20 / $524.81	Facility		$30.20	$91.20	$524.81
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $323.59 / $354.81 / $537.03	Facility	50	$323.59	$354.81	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $53.70 / $131.83	Professional		$25.12	$53.70	$131.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $69.18 / $213.80 / $234.42	Professional	50	$69.18	$213.80	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $57.54 / $58.88	Professional		$53.70	$57.54	$58.88
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $87.10 / $87.10 / $89.13	Professional	50	$87.10	$87.10	$89.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,466.84 / $8,709.64	Facility		$1,513.56	$4,466.84	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.20 / $47.86	Professional		$23.44	$30.20	$47.86
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $34.67 / $45.71 / $70.79	Professional	50	$34.67	$45.71	$70.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $29.51 / $34.67	Facility		$23.99	$29.51	$34.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $74.13 / $79.43	Professional		$57.54	$74.13	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $66.07	Facility		$54.95	$54.95	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $57.54 / $102.33	Professional		$29.51	$57.54	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $2,137.96 / $5,754.40	Facility		$131.83	$2,137.96	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $50.12 / $89.13	Professional		$26.92	$50.12	$89.13