Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.77 / $917.73 / $3,099.01	Facility		$57.77	$917.73	$3,099.01
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $584.14 / $2,026.73 / $3,538.32	Facility	50	$584.14	$2,026.73	$3,538.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $79.26 / $451.53	Professional		$46.93	$79.26	$451.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $69.66 / $195.00 / $806.50	Professional	50	$69.66	$195.00	$806.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $46.44 / $123.35	Professional		$43.19	$46.44	$123.35
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $64.79 / $90.70 / $104.49	Professional	50	$64.79	$90.70	$104.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.19 / $121.96 / $2,956.00	Facility		$63.19	$121.96	$2,956.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.12 / $60.84 / $87.20	Professional		$41.12	$60.84	$87.20
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $61.68 / $91.26 / $130.80	Professional	50	$61.68	$91.26	$130.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.44 / $62.18 / $95.94	Facility		$46.44	$62.18	$95.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $82.23 / $102.79 / $129.51	Professional		$82.23	$102.79	$129.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.07 / $90.29 / $139.41	Professional		$55.07	$90.29	$139.41
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 $72.04 / $100.44 / $169.37	Professional		$72.04	$100.44	$169.37