Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $2,398.83 / $7,762.47	Facility		$154.88	$2,398.83	$7,762.47
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $109.65 / $109.65 / $3,090.30	Facility	50	$109.65	$109.65	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $302.00	Professional		$123.03	$177.83	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $169.82	Professional		$120.23	$144.54	$169.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $316.23	Facility		$165.96	$165.96	$316.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $263.03	Professional		$123.03	$165.96	$263.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $158.49 / $177.83	Facility		$125.89	$158.49	$177.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $138.04 / $177.83	Professional		$125.89	$138.04	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $213.80 / $281.84	Facility		$134.90	$213.80	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $288.40	Professional		$131.83	$177.83	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,290.87 / $7,413.10	Facility		$933.25	$2,290.87	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $269.15	Professional		$125.89	$162.18	$269.15