Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $3,630.78 / $5,623.41	Facility		$87.10	$3,630.78	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $93.33 / $251.19	Professional		$54.95	$93.33	$251.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $91.20 / $371.54 / $416.87	Professional	50	$91.20	$371.54	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $102.33	Professional		$79.43	$79.43	$102.33
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 $53.70 / $64.57 / $109.65	Professional		$53.70	$64.57	$109.65
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $97.72 / $162.18	Professional	50	$81.28	$97.72	$162.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $58.88 / $67.61	Facility		$53.70	$58.88	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $128.82 / $309.03	Facility		$77.62	$128.82	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $104.71 / $223.87	Professional		$63.10	$104.71	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,818.38 / $4,466.84	Facility		$575.44	$2,818.38	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $95.50 / $199.53	Professional		$56.23	$95.50	$199.53