Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,698.24 / $7,413.10	Facility		$100.00	$1,698.24	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $123.03 / $416.87	Professional		$61.66	$123.03	$416.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $537.03 / $537.03 / $549.54	Professional	50	$537.03	$537.03	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $79.43 / $95.50	Professional		$58.88	$79.43	$95.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $4,265.80 / $8,317.64	Facility		$1,479.11	$4,265.80	$8,317.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $158.49	Professional		$58.88	$85.11	$158.49
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $87.10 / $125.89 / $239.88	Professional	50	$87.10	$125.89	$239.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $79.43 / $93.33	Facility		$64.57	$79.43	$93.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $173.78	Professional		$120.23	$154.88	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $154.88 / $338.84	Facility		$79.43	$154.88	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $123.03 / $218.78	Professional		$69.18	$123.03	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,818.38 / $4,466.84	Facility		$741.31	$2,818.38	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $104.71 / $194.98	Professional		$57.54	$104.71	$194.98