Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $1,000.00 / $2,951.21	Facility		$72.44	$1,000.00	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $104.71 / $575.44	Professional		$48.98	$104.71	$575.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $75.86 / $151.36 / $489.78	Professional	50	$75.86	$151.36	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $64.57 / $123.03	Professional		$42.66	$64.57	$123.03
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $60.26 / $154.88 / $229.09	Professional	50	$60.26	$154.88	$229.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $977.24 / $3,388.44	Facility		$64.57	$977.24	$3,388.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $64.57 / $120.23	Professional		$42.66	$64.57	$120.23
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $63.10 / $97.72 / $177.83	Professional	50	$63.10	$97.72	$177.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $57.54 / $67.61	Facility		$46.77	$57.54	$67.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $144.54	Professional		$100.00	$128.82	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $147.91 / $354.81	Facility		$67.61	$147.91	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $107.15 / $204.17	Professional		$56.23	$107.15	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,238.72 / $7,413.10	Facility		$933.25	$2,238.72	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $89.13 / $190.55	Professional		$48.98	$89.13	$190.55