Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $3,890.45 / $5,623.41	Facility		$309.03	$3,890.45	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $407.38 / $812.83	Professional		$218.78	$407.38	$812.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $660.69 / $758.58 / $1,071.52	Professional	50	$660.69	$758.58	$1,071.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $229.09 / $281.84	Professional		$213.80	$229.09	$281.84
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 $380.19 / $478.63 / $724.44	Professional		$380.19	$478.63	$724.44
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $575.44 / $724.44 / $1,096.48	Professional	50	$575.44	$724.44	$1,096.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $213.80 / $269.15	Facility		$154.88	$213.80	$269.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $239.88 / $281.84	Professional		$218.78	$239.88	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $512.86 / $851.14	Facility		$269.15	$512.86	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $457.09 / $616.60	Professional		$245.47	$457.09	$616.60
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 $407.38 / $524.81 / $912.01	Professional		$407.38	$524.81	$912.01