Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.84 / $1,386.00 / $5,634.00	Facility		$71.84	$1,386.00	$5,634.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $618.00 / $1,356.64 / $2,276.80	Facility	50	$618.00	$1,356.64	$2,276.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.64 / $196.36 / $546.00	Professional		$61.64	$196.36	$546.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $181.18 / $323.99 / $528.63	Professional	50	$181.18	$323.99	$528.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.59 / $79.59 / $79.59	Professional		$79.59	$79.59	$79.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.46 / $949.00 / $3,135.00	Facility		$83.46	$949.00	$3,135.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.79 / $79.62 / $115.17	Professional		$59.79	$79.62	$115.17
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $89.68 / $119.43 / $172.76	Professional	50	$89.68	$119.43	$172.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.14 / $81.86 / $126.23	Facility		$61.14	$81.86	$126.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $223.98 / $279.98 / $352.77	Professional		$223.98	$279.98	$352.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.51 / $144.01 / $343.52	Professional		$73.51	$144.01	$343.52
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 $159.96 / $215.38 / $380.86	Professional		$159.96	$215.38	$380.86