Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $776.25 / $4,897.79	Facility		$74.13	$776.25	$4,897.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $549.54 / $616.60 / $1,659.59	Facility	50	$549.54	$616.60	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $85.11 / $302.00	Professional		$47.86	$85.11	$302.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $70.79 / $114.82 / $338.84	Professional	50	$70.79	$114.82	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $50.12 / $89.13	Professional		$43.65	$50.12	$89.13
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $70.79 / $123.03 / $239.88	Professional	50	$70.79	$123.03	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $977.24 / $3,388.44	Facility		$60.26	$977.24	$3,388.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $64.57 / $102.33	Professional		$42.66	$64.57	$102.33
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $64.57 / $97.72 / $154.88	Professional	50	$64.57	$97.72	$154.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $52.48 / $66.07	Facility		$46.77	$52.48	$66.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $114.82	Professional		$81.28	$107.15	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $91.20 / $144.54	Professional		$54.95	$91.20	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,238.72 / $7,413.10	Facility		$933.25	$2,238.72	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $79.43 / $144.54	Professional		$46.77	$79.43	$144.54