Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.47 / $582.04 / $5,634.00	Facility		$201.47	$582.04	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.47 / $267.91 / $719.00	Professional		$201.47	$267.91	$719.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,783.12 / $2,783.12 / $2,783.12	Professional	50	$2,783.12	$2,783.12	$2,783.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $195.02 / $218.88 / $339.26	Professional		$195.02	$218.88	$339.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.40 / $446.93 / $643.97	Professional		$382.40	$446.93	$643.97
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $573.61 / $670.40 / $965.96	Professional	50	$573.61	$670.40	$965.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $195.02 / $253.53 / $380.30	Facility		$195.02	$253.53	$380.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $218.88 / $251.71 / $328.32	Professional		$218.88	$251.71	$328.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.67 / $354.05 / $450.00	Facility		$179.67	$354.05	$450.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.20 / $466.58 / $789.32	Professional		$250.20	$466.58	$789.32
United Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $2,811.00 / $4,271.00	Facility		$462.00	$2,811.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $427.60 / $540.19 / $1,025.13	Professional		$427.60	$540.19	$1,025.13