Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $1,521.11 / $4,850.27	Facility		$66.70	$1,521.11	$4,850.27
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $801.51 / $3,437.26 / $5,019.47	Facility	50	$801.51	$3,437.26	$5,019.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.29 / $172.53 / $491.25	Professional		$54.29	$172.53	$491.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.08 / $314.99 / $1,152.51	Professional	50	$125.08	$314.99	$1,152.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.96 / $53.72 / $69.94	Professional		$49.96	$53.72	$69.94
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $112.41 / $112.41 / $314.99	Professional	50	$112.41	$112.41	$314.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.69 / $949.00 / $2,956.00	Facility		$72.69	$949.00	$2,956.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.99 / $71.70 / $100.31	Professional		$51.99	$71.70	$100.31
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $77.98 / $107.56 / $150.46	Professional	50	$77.98	$107.56	$150.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.72 / $71.93 / $111.23	Facility		$53.72	$71.93	$111.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $209.99 / $262.49 / $330.74	Professional		$209.99	$262.49	$330.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.42 / $125.51 / $317.58	Professional		$64.42	$125.51	$317.58
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 $145.88 / $200.39 / $347.37	Professional		$145.88	$200.39	$347.37