Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $342.72 / $3,259.87	Facility		$63.06	$342.72	$3,259.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $342.72 / $6,822.82 / $6,822.82	Facility	50	$342.72	$6,822.82	$6,822.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.79 / $89.61 / $229.30	Professional		$51.79	$89.61	$229.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $246.84 / $415.61 / $450.00	Professional	50	$246.84	$415.61	$450.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.58 / $149.36 / $195.31	Professional		$118.58	$149.36	$195.31
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $106.33 / $106.33 / $224.04	Professional	50	$106.33	$106.33	$224.04
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 $45.85 / $53.95 / $76.92	Professional		$45.85	$53.95	$76.92
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $68.78 / $80.92 / $115.38	Professional	50	$68.78	$80.92	$115.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.63 / $68.34 / $113.93	Facility		$50.63	$68.34	$113.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $139.51 / $167.41 / $222.35	Professional		$139.51	$167.41	$222.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.95 / $117.66 / $218.19	Professional		$64.95	$117.66	$218.19
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 $91.26 / $134.72 / $242.36	Professional		$91.26	$134.72	$242.36