Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.67 / $673.34 / $5,406.50	Facility		$68.67	$673.34	$5,406.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.02 / $124.79 / $250.31	Professional		$64.02	$124.79	$250.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $225.72 / $225.72 / $1,233.75	Professional	50	$225.72	$225.72	$1,233.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.49 / $98.49 / $98.49	Professional		$98.49	$98.49	$98.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $740.96 / $4,097.10 / $8,230.00	Facility		$740.96	$4,097.10	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $100.77 / $148.72	Professional		$63.43	$100.77	$148.72
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $95.15 / $151.16 / $223.10	Professional	50	$95.15	$151.16	$223.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.66 / $87.90 / $136.69	Facility		$65.66	$87.90	$136.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $140.82 / $173.10 / $221.79	Professional		$140.82	$173.10	$221.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.68 / $135.68 / $160.83	Facility		$135.68	$135.68	$160.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $154.72 / $269.50	Professional		$77.81	$154.72	$269.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $3,267.00 / $4,271.00	Facility		$1,638.00	$3,267.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.68 / $141.52 / $243.57	Professional		$108.68	$141.52	$243.57