Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.64 / $1,014.07 / $3,645.60	Facility		$63.64	$1,014.07	$3,645.60
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $544.98 / $923.05 / $2,393.36	Facility	50	$544.98	$923.05	$2,393.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.46 / $86.85 / $291.75	Professional		$54.46	$86.85	$291.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $109.69 / $218.33 / $237.03	Professional	50	$109.69	$218.33	$237.03
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $121.88 / $121.88 / $121.88	Professional	50	$121.88	$121.88	$121.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.02 / $142.86 / $2,956.00	Facility		$74.02	$142.86	$2,956.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.32 / $70.23 / $102.14	Professional		$48.32	$70.23	$102.14
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $72.48 / $105.34 / $153.22	Professional	50	$72.48	$105.34	$153.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.17 / $73.13 / $112.67	Facility		$54.17	$73.13	$112.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.47 / $110.59 / $139.34	Professional		$88.47	$110.59	$139.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.34 / $100.04 / $153.22	Professional		$64.34	$100.04	$153.22
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 $78.77 / $107.98 / $186.68	Professional		$78.77	$107.98	$186.68