Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $580.33 / $2,075.61	Facility		$82.00	$580.33	$2,075.61
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $511.30 / $511.30 / $511.30	Facility	50	$511.30	$511.30	$511.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.48 / $105.44 / $208.79	Professional		$46.48	$105.44	$208.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.04 / $67.88 / $152.00	Professional		$43.04	$67.88	$152.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.75 / $116.75 / $225.33	Facility		$116.75	$116.75	$225.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.44 / $116.75 / $175.12	Professional		$49.44	$116.75	$175.12
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $74.16 / $175.12 / $262.68	Professional	50	$74.16	$175.12	$262.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $58.83 / $91.64	Facility		$45.25	$58.83	$91.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.88 / $170.26 / $212.82	Professional		$141.88	$170.26	$212.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.79 / $84.79 / $84.79	Facility		$84.79	$84.79	$84.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.51 / $162.54 / $347.65	Professional		$55.51	$162.54	$347.65
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,174.00 / $4,426.00	Facility		$933.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.19 / $172.69 / $307.62	Professional		$133.19	$172.69	$307.62