Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.41 / $250.34 / $5,634.00	Facility		$97.41	$250.34	$5,634.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,206.16 / $2,206.16 / $2,206.16	Facility	50	$2,206.16	$2,206.16	$2,206.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.80 / $115.46 / $184.52	Professional		$95.80	$115.46	$184.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $168.66 / $299.58 / $426.00	Professional	50	$168.66	$299.58	$426.00
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $254.18 / $254.18 / $254.18	Professional	50	$254.18	$254.18	$254.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.16 / $94.31 / $130.13	Professional		$80.16	$94.31	$130.13
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $120.24 / $141.46 / $195.22	Professional	50	$120.24	$141.46	$195.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.82 / $129.36 / $194.04	Facility		$95.82	$129.36	$194.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $121.47 / $151.84 / $191.31	Professional		$121.47	$151.84	$191.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.77 / $92.77 / $109.97	Facility		$92.77	$92.77	$109.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.59 / $150.79 / $211.49	Professional		$117.59	$150.79	$211.49
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 $103.67 / $144.97 / $246.62	Professional		$103.67	$144.97	$246.62