Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.52 / $272.63 / $5,634.00	Facility		$132.52	$272.63	$5,634.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $600.38 / $6,824.83 / $14,263.88	Facility	50	$600.38	$6,824.83	$14,263.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $387.45 / $456.00 / $539.00	Professional	50	$387.45	$456.00	$539.00
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $249.67 / $249.67 / $341.77	Professional	50	$249.67	$249.67	$341.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.33 / $131.33 / $253.47	Facility		$131.33	$131.33	$253.47
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $295.49 / $512.76	Professional	50	$154.88	$295.49	$512.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.03 / $135.24 / $210.66	Facility		$104.03	$135.24	$210.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.09 / $205.09 / $205.09	Facility		$205.09	$205.09	$205.09
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,174.00 / $7,742.00	Facility		$933.00	$2,174.00	$7,742.00