Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $239.88 / $5,128.61	Facility		$74.13	$239.88	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $123.03 / $281.84	Professional		$58.88	$123.03	$281.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $134.90 / $134.90 / $208.93	Professional	50	$134.90	$134.90	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $61.66 / $89.13	Professional		$53.70	$61.66	$89.13
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 $57.54 / $81.28 / $134.90	Professional		$57.54	$81.28	$134.90
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $85.11 / $123.03 / $199.53	Professional	50	$85.11	$123.03	$199.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $64.57 / $74.13	Facility		$58.88	$64.57	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $758.58	Facility		$645.65	$645.65	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $144.54 / $263.03	Professional		$69.18	$144.54	$263.03
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 $58.88 / $114.82 / $213.80	Professional		$58.88	$114.82	$213.80