Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.94 / $82.09 / $5,634.00	Facility		$31.94	$82.09	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.73 / $43.59 / $79.81	Professional		$31.73	$43.59	$79.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $60.55 / $108.71 / $264.27	Professional	50	$60.55	$108.71	$264.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $46.26 / $68.43	Professional		$34.22	$46.26	$68.43
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $63.64 / $63.64 / $89.10	Professional	50	$63.64	$63.64	$89.10
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 $27.31 / $34.14 / $47.11	Professional		$27.31	$34.14	$47.11
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $40.96 / $51.21 / $70.66	Professional	50	$40.96	$51.21	$70.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.71 / $41.12 / $62.56	Facility		$30.71	$41.12	$62.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.62 / $56.64 / $71.84	Professional		$45.62	$56.64	$71.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.91 / $29.91 / $35.46	Facility		$29.91	$29.91	$35.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.38 / $55.63 / $82.12	Professional		$37.38	$55.63	$82.12
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.70 / $54.78 / $95.42	Professional		$39.70	$54.78	$95.42