Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $173.78 / $933.25	Facility		$53.70	$173.78	$933.25
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $489.78 / $489.78 / $741.31	Facility	50	$489.78	$489.78	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $87.10 / $162.18	Professional		$44.67	$87.10	$162.18
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $181.97 / $181.97 / $346.74	Professional	50	$181.97	$181.97	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $79.43 / $104.71	Professional		$39.81	$79.43	$104.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,466.84 / $8,709.64	Facility		$1,513.56	$4,466.84	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $51.29 / $81.28	Professional		$41.69	$51.29	$81.28
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $63.10 / $75.86 / $120.23	Professional	50	$63.10	$75.86	$120.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $56.23 / $61.66	Facility		$44.67	$56.23	$61.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $83.18 / $104.71	Professional		$74.13	$83.18	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $104.71 / $239.88	Facility		$57.54	$104.71	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $95.50 / $213.80	Professional		$53.70	$95.50	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $2,137.96 / $5,754.40	Facility		$107.15	$2,137.96	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $77.62 / $144.54	Professional		$46.77	$77.62	$144.54