Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.19 / $1,448.20 / $6,108.16	Facility		$205.19	$1,448.20	$6,108.16
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,392.70 / $2,276.80 / $10,332.36	Facility	50	$1,392.70	$2,276.80	$10,332.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $401.80 / $846.30	Professional		$180.00	$401.80	$846.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $518.01 / $734.40 / $1,124.24	Professional	50	$518.01	$734.40	$1,124.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.43 / $229.43 / $245.82	Professional		$229.43	$229.43	$245.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.00 / $5,230.00 / $8,240.00	Facility		$949.00	$5,230.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.11 / $258.33 / $374.84	Professional		$188.11	$258.33	$374.84
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $282.16 / $387.50 / $562.26	Professional	50	$282.16	$387.50	$562.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $176.22 / $235.92 / $359.24	Facility		$176.22	$235.92	$359.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $388.56 / $485.70 / $611.99	Professional		$388.56	$485.70	$611.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,239.56 / $1,239.56 / $1,469.38	Facility		$1,239.56	$1,239.56	$1,469.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.16 / $415.70 / $700.32	Professional		$225.16	$415.70	$700.32
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,032.00 / $10,413.00	Facility		$3,364.00	$6,032.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $360.49 / $493.62 / $833.38	Professional		$360.49	$493.62	$833.38