Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $398.11 / $5,248.07	Facility		$223.87	$398.11	$5,248.07
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility	50	$2,187.76	$2,187.76	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $724.44	Professional		$204.17	$295.12	$724.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $354.81 / $588.84 / $1,071.52	Professional	50	$354.81	$588.84	$1,071.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $239.88	Professional		$162.18	$218.78	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,466.84 / $8,709.64	Facility		$2,454.71	$4,466.84	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $407.38 / $602.56	Professional		$263.03	$407.38	$602.56
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $398.11 / $602.56 / $912.01	Professional	50	$398.11	$602.56	$912.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $204.17 / $257.04	Facility		$147.91	$204.17	$257.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $239.88 / $288.40	Professional		$218.78	$239.88	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $331.13 / $457.09	Facility		$229.09	$331.13	$457.09
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $239.88 / $239.88 / $239.88	Facility	54	$239.88	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $457.09	Professional		$213.80	$302.00	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,818.38 / $4,265.80	Facility		$457.09	$2,818.38	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $295.12 / $478.63	Professional		$199.53	$295.12	$478.63