Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.26 / $3,500.00 / $9,681.04	Facility		$148.26	$3,500.00	$9,681.04
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $109.30 / $109.30 / $3,116.07	Facility	50	$109.30	$109.30	$3,116.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.07 / $130.46 / $277.00	Professional		$123.07	$130.46	$277.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.69 / $156.69 / $168.76	Professional		$109.69	$156.69	$168.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.04 / $165.04 / $318.52	Facility		$165.04	$165.04	$318.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.85 / $165.04 / $227.75	Professional		$123.85	$165.04	$227.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.54 / $163.92 / $253.14	Facility		$120.54	$163.92	$253.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $144.65 / $180.81	Professional		$120.54	$144.65	$180.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.65 / $178.97 / $280.49	Professional		$139.65	$178.97	$280.49
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.90 / $167.26 / $291.63	Professional		$129.90	$167.26	$291.63