Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $4,168.69 / $11,220.18	Facility		$181.97	$4,168.69	$11,220.18
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,659.59 / $5,623.41 / $8,128.31	Facility	50	$1,659.59	$5,623.41	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $467.74	Professional		$141.25	$204.17	$467.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $173.78 / $457.09 / $870.96	Professional	50	$173.78	$457.09	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $173.78 / $223.87	Professional		$134.90	$173.78	$223.87
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $257.04 / $338.84	Professional	50	$169.82	$257.04	$338.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $8,317.64 / $10,471.29	Facility		$3,715.35	$8,317.64	$10,471.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $302.00	Professional		$154.88	$194.98	$302.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $234.42 / $288.40 / $457.09	Professional	50	$234.42	$288.40	$457.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $190.55 / $204.17	Facility		$151.36	$190.55	$204.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $165.96 / $208.93	Professional		$151.36	$165.96	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $269.15 / $363.08	Facility		$154.88	$269.15	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $436.52	Professional		$158.49	$213.80	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,715.35 / $6,456.54	Facility		$1,230.27	$3,715.35	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $177.83 / $295.12	Professional		$141.25	$177.83	$295.12