Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.76 / $936.86 / $5,634.00	Facility		$85.76	$936.86	$5,634.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $700.32 / $700.32 / $700.32	Facility	50	$700.32	$700.32	$700.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.76 / $108.40 / $233.00	Professional		$85.76	$108.40	$233.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $159.21 / $272.52 / $500.00	Professional	50	$159.21	$272.52	$500.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.44 / $112.68 / $153.66	Professional		$102.44	$112.68	$153.66
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $153.66 / $188.21 / $230.49	Professional	50	$153.66	$188.21	$230.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.75 / $3,258.00 / $6,008.00	Facility		$66.75	$3,258.00	$6,008.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $143.69 / $193.57	Professional		$102.94	$143.69	$193.57
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $154.41 / $215.53 / $290.36	Professional	50	$154.41	$215.53	$290.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.65 / $108.75 / $163.13	Facility		$83.65	$108.75	$163.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.44 / $112.68 / $153.66	Professional		$102.44	$112.68	$153.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.43 / $153.82 / $422.00	Facility		$72.43	$153.82	$422.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.16 / $160.91 / $401.32	Professional		$103.16	$160.91	$401.32
United Facility/Professional Facility Modifier Low / Median / High Price $258.00 / $1,781.00 / $4,395.00	Facility		$258.00	$1,781.00	$4,395.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.99 / $144.51 / $235.87	Professional		$95.99	$144.51	$235.87