Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $1,000.00 / $3,801.89	Facility		$107.15	$1,000.00	$3,801.89
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $616.60 / $2,290.87 / $4,168.69	Facility	50	$616.60	$2,290.87	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $186.21 / $1,000.00	Professional		$87.10	$186.21	$1,000.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $138.04 / $346.74 / $1,230.27	Professional	50	$138.04	$346.74	$1,230.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $125.89 / $186.21	Professional		$77.62	$125.89	$186.21
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $114.82 / $173.78 / $295.12	Professional	50	$114.82	$173.78	$295.12
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 $74.13 / $109.65 / $181.97	Professional		$74.13	$109.65	$181.97
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $112.20 / $165.96 / $275.42	Professional	50	$112.20	$165.96	$275.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $102.33 / $120.23	Facility		$83.18	$102.33	$120.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $229.09	Professional		$158.49	$208.93	$229.09
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 $95.50 / $169.82 / $281.84	Professional		$95.50	$169.82	$281.84
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 $79.43 / $151.36 / $316.23	Professional		$79.43	$151.36	$316.23