Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.06 / $543.00 / $5,067.18	Facility		$41.06	$543.00	$5,067.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.53 / $51.67 / $114.56	Professional		$34.53	$51.67	$114.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $76.70 / $115.26 / $171.84	Professional	50	$76.70	$115.26	$171.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.23 / $51.26 / $74.69	Professional		$44.23	$51.26	$74.69
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $70.95 / $97.09 / $112.03	Professional	50	$70.95	$97.09	$112.03
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 $30.48 / $50.93 / $95.28	Professional		$30.48	$50.93	$95.28
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $45.73 / $76.40 / $142.91	Professional	50	$45.73	$76.40	$142.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.39 / $44.70 / $68.26	Facility		$33.39	$44.70	$68.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.79 / $62.01 / $78.42	Professional		$49.79	$62.01	$78.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.58 / $38.58 / $45.74	Facility		$38.58	$38.58	$45.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $62.23 / $101.49	Professional		$40.11	$62.23	$101.49
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 $43.14 / $59.15 / $105.68	Professional		$43.14	$59.15	$105.68