Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.47 / $812.45 / $4,846.00	Facility		$138.47	$812.45	$4,846.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $839.38 / $839.38 / $3,584.22	Facility	50	$839.38	$839.38	$3,584.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.39 / $229.66 / $489.12	Professional		$115.39	$229.66	$489.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $556.23 / $556.23 / $556.23	Professional	50	$556.23	$556.23	$556.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $179.58 / $179.58 / $179.58	Professional		$179.58	$179.58	$179.58
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $269.37 / $269.37 / $358.52	Professional	50	$269.37	$269.37	$358.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,399.00 / $3,677.00 / $5,445.00	Facility		$1,399.00	$3,677.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.34 / $116.68 / $165.68	Professional		$93.34	$116.68	$165.68
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $140.01 / $175.02 / $248.52	Professional	50	$140.01	$175.02	$248.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $132.29 / $183.17 / $269.37	Facility		$132.29	$183.17	$269.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $239.01 / $298.76 / $430.22	Professional		$239.01	$298.76	$430.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.52 / $640.52 / $759.27	Facility		$640.52	$640.52	$759.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.76 / $260.02 / $477.19	Professional		$134.76	$260.02	$477.19
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 $207.23 / $287.70 / $489.30	Professional		$207.23	$287.70	$489.30