Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $467.74 / $5,623.41	Facility		$186.21	$467.74	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $269.15 / $489.78	Professional		$154.88	$269.15	$489.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $354.81 / $645.65 / $1,348.96	Professional	50	$354.81	$645.65	$1,348.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $288.40 / $630.96	Professional		$173.78	$288.40	$630.96
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $331.13 / $457.09 / $537.03	Professional	50	$331.13	$457.09	$537.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $8,317.64 / $10,471.29	Facility		$2,344.23	$8,317.64	$10,471.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $234.42 / $426.58	Professional		$141.25	$234.42	$426.58
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $213.80 / $354.81 / $645.65	Professional	50	$213.80	$354.81	$645.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $190.55 / $208.93	Facility		$151.36	$190.55	$208.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $275.42 / $346.74	Professional		$245.47	$275.42	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $309.03 / $616.60	Professional		$177.83	$309.03	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,715.35 / $6,456.54	Facility		$1,445.44	$3,715.35	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $426.58	Professional		$158.49	$251.19	$426.58