Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $543.00 / $7,954.00	Facility		$33.22	$543.00	$7,954.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $542.70 / $768.78 / $768.78	Facility	50	$542.70	$768.78	$768.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $50.50 / $111.58	Professional		$33.22	$50.50	$111.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $109.13 / $163.50 / $473.00	Professional	50	$109.13	$163.50	$473.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $48.85 / $73.28	Professional		$29.00	$48.85	$73.28
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $36.51 / $74.93 / $117.24	Professional	50	$36.51	$74.93	$117.24
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 $29.30 / $48.85 / $83.64	Professional		$29.30	$48.85	$83.64
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $43.96 / $73.27 / $125.46	Professional	50	$43.96	$73.27	$125.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.45 / $43.44 / $66.56	Facility		$32.45	$43.44	$66.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.85 / $58.62 / $76.94	Professional		$48.85	$58.62	$76.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.14 / $38.14 / $45.21	Facility		$38.14	$38.14	$45.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $57.73 / $92.81	Professional		$38.61	$57.73	$92.81
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 $41.58 / $55.90 / $100.49	Professional		$41.58	$55.90	$100.49