Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.46 / $260.75 / $5,634.00	Facility		$101.46	$260.75	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $140.84 / $190.88	Professional		$96.58	$140.84	$190.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $177.50 / $574.91 / $574.91	Professional	50	$177.50	$574.91	$574.91
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $326.66 / $326.66 / $326.66	Professional	50	$326.66	$326.66	$326.66
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 $87.05 / $102.96 / $142.08	Professional		$87.05	$102.96	$142.08
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $130.58 / $154.44 / $213.12	Professional	50	$130.58	$154.44	$213.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.02 / $150.03 / $205.92	Facility		$100.02	$150.03	$205.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $145.18 / $181.48 / $261.33	Professional		$145.18	$181.48	$261.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.31 / $115.31 / $136.69	Facility		$115.31	$115.31	$136.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.40 / $187.22 / $304.64	Professional		$118.40	$187.22	$304.64
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 $142.03 / $198.03 / $337.41	Professional		$142.03	$198.03	$337.41