Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.32 / $1,333.16 / $3,890.93	Facility		$112.32	$1,333.16	$3,890.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $623.32 / $2,615.44 / $4,616.18	Facility	50	$623.32	$2,615.44	$4,616.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.90 / $175.65 / $685.73	Professional		$96.90	$175.65	$685.73
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $243.29 / $403.50 / $680.00	Professional	50	$243.29	$403.50	$680.00
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $216.97 / $216.97 / $216.97	Professional	50	$216.97	$216.97	$216.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $740.96 / $3,896.00 / $8,230.00	Facility		$740.96	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.20 / $123.71 / $178.00	Professional		$85.20	$123.71	$178.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $127.80 / $185.56 / $267.00	Professional	50	$127.80	$185.56	$267.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.43 / $129.09 / $196.91	Facility		$96.43	$129.09	$196.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $173.97 / $217.46 / $274.01	Professional		$173.97	$217.46	$274.01
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 $112.19 / $191.14 / $305.61	Professional		$112.19	$191.14	$305.61
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 $160.88 / $224.29 / $401.37	Professional		$160.88	$224.29	$401.37