Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $1,318.26 / $4,897.79	Facility		$69.18	$1,318.26	$4,897.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $831.76 / $3,090.30 / $5,011.87	Facility	50	$831.76	$3,090.30	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $204.17 / $912.01	Professional		$56.23	$204.17	$912.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $87.10 / $199.53 / $1,230.27	Professional	50	$87.10	$199.53	$1,230.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $81.28 / $251.19	Professional		$51.29	$81.28	$251.19
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $104.71 / $338.84	Professional	50	$74.13	$104.71	$338.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $2,187.76 / $3,388.44	Facility		$72.44	$2,187.76	$3,388.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $72.44 / $117.49	Professional		$57.54	$72.44	$117.49
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $87.10 / $109.65 / $177.83	Professional	50	$87.10	$109.65	$177.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $66.07 / $77.62	Facility		$53.70	$66.07	$77.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $302.00	Professional		$208.93	$269.15	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $154.88 / $316.23	Professional		$64.57	$154.88	$316.23
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 $56.23 / $138.04 / $295.12	Professional		$56.23	$138.04	$295.12