Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.39 / $1,004.25 / $3,392.70	Facility		$101.39	$1,004.25	$3,392.70
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $772.16 / $1,981.06 / $3,953.53	Facility	50	$772.16	$1,981.06	$3,953.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $159.12 / $806.50	Professional		$82.95	$159.12	$806.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $190.13 / $402.53 / $1,613.00	Professional	50	$190.13	$402.53	$1,613.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.18 / $82.99 / $124.49	Professional		$77.18	$82.99	$124.49
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $115.77 / $186.73 / $360.52	Professional	50	$115.77	$186.73	$360.52
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 $71.84 / $105.34 / $151.12	Professional		$71.84	$105.34	$151.12
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $107.77 / $158.01 / $226.68	Professional	50	$107.77	$158.01	$226.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.99 / $111.11 / $170.22	Facility		$82.99	$111.11	$170.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $160.22 / $200.29 / $252.36	Professional		$160.22	$200.29	$252.36
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 $96.89 / $175.83 / $276.55	Professional		$96.89	$175.83	$276.55
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 $144.19 / $220.02 / $380.04	Professional		$144.19	$220.02	$380.04