Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $2,290.87 / $9,549.93	Facility		$79.43	$2,290.87	$9,549.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,230.27 / $13,803.84 / $13,803.84	Facility	50	$1,230.27	$13,803.84	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $104.71 / $549.54	Professional		$56.23	$104.71	$549.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $60.26 / $199.53 / $1,071.52	Professional	50	$60.26	$199.53	$1,071.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $60.26 / $87.10	Professional		$48.98	$60.26	$87.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,466.84 / $8,709.64	Facility		$2,089.30	$4,466.84	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $66.07 / $117.49	Professional		$56.23	$66.07	$117.49
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $83.18 / $97.72 / $177.83	Professional	50	$83.18	$97.72	$177.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $72.44 / $85.11	Facility		$57.54	$72.44	$85.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $151.36	Professional		$104.71	$134.90	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $102.33	Facility		$87.10	$87.10	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $107.15 / $173.78	Professional		$66.07	$107.15	$173.78
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 $52.48 / $81.28 / $147.91	Professional		$52.48	$81.28	$147.91