Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.72 / $518.78 / $5,634.00	Facility		$75.72	$518.78	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $169.27 / $275.24	Professional		$71.48	$169.27	$275.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $113.57 / $166.60 / $357.05	Professional	50	$113.57	$166.60	$357.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.03 / $63.03 / $63.03	Professional		$63.03	$63.03	$63.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,677.00 / $5,445.00	Facility		$1,682.00	$3,677.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.58 / $77.52 / $110.07	Professional		$65.58	$77.52	$110.07
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $98.37 / $116.28 / $165.11	Professional	50	$98.37	$116.28	$165.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.59 / $105.98 / $298.62	Facility		$73.59	$105.98	$298.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $226.16 / $280.01 / $387.71	Professional		$226.16	$280.01	$387.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.50 / $93.50 / $93.50	Facility		$93.50	$93.50	$93.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.51 / $200.32 / $368.89	Professional		$88.51	$200.32	$368.89
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,291.00 / $4,426.00	Facility		$600.00	$2,291.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $176.73 / $237.56 / $383.89	Professional		$176.73	$237.56	$383.89