Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.69 / $195.55 / $559.20	Facility		$29.69	$195.55	$559.20
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $277.54 / $456.28 / $991.80	Facility	50	$277.54	$456.28	$991.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $71.78 / $101.82	Professional		$25.00	$71.78	$101.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.76 / $218.21 / $233.78	Professional	50	$114.76	$218.21	$233.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $31.50 / $110.90	Professional		$28.19	$31.50	$110.90
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $37.40 / $42.28 / $42.28	Professional	50	$37.40	$42.28	$42.28
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 $13.82 / $27.86 / $38.44	Professional		$13.82	$27.86	$38.44
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $20.73 / $41.79 / $57.67	Professional	50	$20.73	$41.79	$57.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.93 / $32.40 / $52.35	Facility		$24.93	$32.40	$52.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $95.05 / $118.82	Professional		$79.20	$95.05	$118.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.70 / $86.70 / $102.77	Facility		$86.70	$86.70	$102.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $78.33 / $126.57	Professional		$28.66	$78.33	$126.57
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 $64.17 / $95.21 / $174.40	Professional		$64.17	$95.21	$174.40