Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $181.45 / $1,386.00	Facility		$42.90	$181.45	$1,386.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $490.57 / $490.57 / $735.76	Facility	50	$490.57	$490.57	$735.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $72.84 / $131.57	Professional		$42.90	$72.84	$131.57
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $99.52 / $218.61 / $345.00	Professional	50	$99.52	$218.61	$345.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.99 / $108.63 / $118.77	Professional		$46.99	$108.63	$118.77
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 $38.25 / $45.01 / $64.26	Professional		$38.25	$45.01	$64.26
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $57.38 / $67.51 / $96.39	Professional	50	$57.38	$67.51	$96.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $58.31 / $97.19	Facility		$43.19	$58.31	$97.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.42 / $86.90 / $108.63	Professional		$72.42	$86.90	$108.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.98 / $100.25 / $236.16	Professional		$54.98	$100.25	$236.16
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $76.43 / $116.84 / $165.77	Professional		$76.43	$116.84	$165.77