Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $1,000.00 / $3,890.45	Facility		$123.03	$1,000.00	$3,890.45
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,000.00 / $3,019.95 / $5,011.87	Facility	50	$1,000.00	$3,019.95	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $194.98 / $1,000.00	Professional		$100.00	$194.98	$1,000.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $407.38 / $2,041.74	Professional	50	$208.93	$407.38	$2,041.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $177.83	Professional		$89.13	$125.89	$177.83
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $134.90 / $245.47 / $288.40	Professional	50	$134.90	$245.47	$288.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,265.80 / $8,317.64	Facility		$1,819.70	$4,265.80	$8,317.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $208.93	Professional		$87.10	$128.82	$208.93
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $131.83 / $194.98 / $316.23	Professional	50	$131.83	$194.98	$316.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $120.23 / $138.04	Facility		$95.50	$120.23	$138.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $251.19	Professional		$173.78	$223.87	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $758.58	Facility		$645.65	$645.65	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $190.55 / $309.03	Professional		$109.65	$190.55	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,818.38 / $4,466.84	Facility		$741.31	$2,818.38	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $169.82 / $354.81	Professional		$95.50	$169.82	$354.81