Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $346.74 / $5,495.41	Facility		$147.91	$346.74	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $194.98 / $398.11	Professional		$120.23	$194.98	$398.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $331.13 / $331.13 / $331.13	Professional	50	$331.13	$331.13	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $147.91	Professional		$112.20	$112.20	$147.91
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 $117.49 / $177.83 / $269.15	Professional		$117.49	$177.83	$269.15
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $173.78 / $263.03 / $407.38	Professional	50	$173.78	$263.03	$407.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $134.90 / $154.88	Facility		$131.83	$134.90	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $218.78 / $446.68	Facility		$141.25	$218.78	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $457.09	Professional		$138.04	$213.80	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $2,137.96 / $5,754.40	Facility		$426.58	$2,137.96	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $316.23	Professional		$125.89	$199.53	$316.23