Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $3,467.37 / $5,623.41	Facility		$35.48	$3,467.37	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $42.66 / $251.19	Professional		$22.91	$42.66	$251.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $208.93 / $489.78	Professional	50	$125.89	$208.93	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
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 $64.57 / $81.28 / $144.54	Professional		$64.57	$81.28	$144.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $97.72 / $123.03 / $218.78	Professional	50	$97.72	$123.03	$218.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $24.55 / $28.18	Facility		$22.39	$24.55	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $100.00 / $363.08	Professional		$27.54	$100.00	$363.08
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 $25.12 / $79.43 / $275.42	Professional		$25.12	$79.43	$275.42