Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $3,801.89 / $5,623.41	Facility		$208.93	$3,801.89	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $371.54	Professional		$138.04	$213.80	$371.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $346.74 / $346.74 / $380.19	Professional	50	$346.74	$346.74	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
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 $120.23 / $141.25 / $234.42	Professional		$120.23	$141.25	$234.42
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $177.83 / $208.93 / $354.81	Professional	50	$177.83	$208.93	$354.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $194.98 / $239.88	Facility		$50.12	$194.98	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $363.08	Professional		$138.04	$204.17	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $2,137.96 / $5,495.41	Facility		$251.19	$2,137.96	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $204.17 / $323.59	Professional		$134.90	$204.17	$323.59