Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $537.03 / $5,623.41	Facility		$60.26	$537.03	$5,623.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $131.83 / $891.25 / $5,888.44	Facility	50	$131.83	$891.25	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $79.43 / $186.21	Professional		$44.67	$79.43	$186.21
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $281.84 / $630.96 / $954.99	Professional	22	$281.84	$630.96	$954.99
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $134.90 / $295.12	Professional	50	$74.13	$134.90	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $60.26 / $87.10	Professional		$40.74	$60.26	$87.10
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $70.79 / $93.33 / $125.89	Professional	50	$70.79	$93.33	$125.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $4,265.80 / $8,317.64	Facility		$575.44	$4,265.80	$8,317.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $70.79 / $134.90	Professional		$38.90	$70.79	$134.90
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $58.88 / $107.15 / $199.53	Professional	50	$58.88	$107.15	$199.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $50.12 / $58.88	Facility		$40.74	$50.12	$58.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $75.86 / $85.11	Professional		$58.88	$75.86	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $83.18 / $141.25	Facility		$53.70	$83.18	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $69.18 / $109.65	Professional		$46.77	$69.18	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $2,137.96 / $5,754.40	Facility		$245.47	$2,137.96	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $60.26 / $107.15	Professional		$41.69	$60.26	$107.15