Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.79 / $3,500.00 / $7,212.00	Facility		$156.79	$3,500.00	$7,212.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,109.22 / $5,109.22 / $5,109.22	Facility	50	$5,109.22	$5,109.22	$5,109.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.79 / $248.84 / $381.71	Professional		$156.79	$248.84	$381.71
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $357.66 / $527.13 / $648.83	Professional	50	$357.66	$527.13	$648.83
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $334.41 / $334.41 / $334.41	Professional	50	$334.41	$334.41	$334.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $5,126.00 / $8,240.00	Facility		$2,234.00	$5,126.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.72 / $215.95 / $396.79	Professional		$135.72	$215.95	$396.79
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $203.59 / $323.93 / $595.17	Professional	50	$203.59	$323.93	$595.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $145.09 / $195.87 / $317.07	Facility		$145.09	$195.87	$317.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $238.44 / $286.13 / $357.66	Professional		$238.44	$286.13	$357.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,061.59 / $1,061.59 / $1,061.59	Facility		$1,061.59	$1,061.59	$1,061.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.07 / $322.55 / $566.29	Professional		$193.07	$322.55	$566.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $5,490.00	Facility		$2,400.00	$3,870.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.07 / $325.51 / $518.88	Professional		$239.07	$325.51	$518.88