Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $3,801.89 / $5,623.41	Facility		$169.82	$3,801.89	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $147.91 / $263.03	Professional		$109.65	$147.91	$263.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $194.98 / $263.03 / $407.38	Professional	50	$194.98	$263.03	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $125.89	Professional		$120.23	$120.23	$125.89
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $190.55 / $190.55 / $190.55	Professional	50	$190.55	$190.55	$190.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,265.80 / $8,317.64	Facility		$2,187.76	$4,265.80	$8,317.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $199.53	Professional		$95.50	$112.20	$199.53
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $165.96 / $295.12	Professional	50	$141.25	$165.96	$295.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $134.90 / $213.80	Facility		$100.00	$134.90	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $131.83 / $218.78	Professional		$93.33	$131.83	$218.78
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 $100.00 / $128.82 / $218.78	Professional		$100.00	$128.82	$218.78