Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.41 / $343.39 / $5,687.31	Facility		$54.41	$343.39	$5,687.31
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $955.26 / $955.26 / $955.26	Facility	50	$955.26	$955.26	$955.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.13 / $97.46 / $367.75	Professional		$47.13	$97.46	$367.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $372.08 / $372.08 / $372.08	Professional	50	$372.08	$372.08	$372.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.72 / $77.72 / $77.72	Professional		$77.72	$77.72	$77.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.18 / $95.18 / $183.70	Facility		$95.18	$95.18	$183.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.58 / $244.74 / $557.87	Professional		$51.58	$244.74	$557.87
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $77.37 / $367.11 / $836.81	Professional	50	$77.37	$367.11	$836.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.51 / $62.84 / $87.98	Facility		$44.51	$62.84	$87.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $215.46 / $269.33 / $404.00	Professional		$215.46	$269.33	$404.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.37 / $80.37 / $80.37	Facility		$80.37	$80.37	$80.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.54 / $260.89 / $539.84	Professional		$51.54	$260.89	$539.84
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,174.00 / $4,426.00	Facility		$933.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $277.98 / $347.53 / $609.20	Professional		$277.98	$347.53	$609.20