Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.80 / $1,684.89 / $8,949.39	Facility		$71.80	$1,684.89	$8,949.39
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,230.83 / $13,647.07 / $13,647.07	Facility	50	$1,230.83	$13,647.07	$13,647.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.66 / $97.12 / $223.30	Professional		$55.66	$97.12	$223.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $82.39 / $82.39 / $82.39	Professional	50	$82.39	$82.39	$82.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.22 / $55.22 / $87.32	Professional		$55.22	$55.22	$87.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $740.96 / $4,119.97 / $8,230.00	Facility		$740.96	$4,119.97	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.42 / $65.70 / $93.29	Professional		$54.42	$65.70	$93.29
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $81.63 / $98.55 / $139.94	Professional	50	$81.63	$98.55	$139.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.21 / $77.93 / $120.59	Facility		$58.21	$77.93	$120.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $105.33 / $126.40 / $165.90	Professional		$105.33	$126.40	$165.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.14 / $87.14 / $103.29	Facility		$87.14	$87.14	$103.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $106.11 / $173.42	Professional		$68.06	$106.11	$173.42
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 $70.39 / $99.82 / $171.11	Professional		$70.39	$99.82	$171.11