Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $630.96 / $2,187.76	Facility		$87.10	$630.96	$2,187.76
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility	50	$3,548.13	$3,548.13	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $186.21 / $426.58	Professional		$64.57	$186.21	$426.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $194.98 / $194.98 / $275.42	Professional	50	$194.98	$194.98	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $117.49 / $251.19	Professional		$58.88	$117.49	$251.19
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $338.84 / $338.84 / $338.84	Professional	50	$338.84	$338.84	$338.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $251.19 / $40,738.03	Facility		$128.82	$251.19	$40,738.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $128.82 / $229.09	Professional		$63.10	$128.82	$229.09
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $95.50 / $194.98 / $346.74	Professional	50	$95.50	$194.98	$346.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $77.62 / $89.13	Facility		$61.66	$77.62	$89.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $316.23	Professional		$194.98	$245.47	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $229.09 / $478.63	Facility		$75.86	$229.09	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $186.21 / $446.68	Professional		$72.44	$186.21	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,238.72 / $7,413.10	Facility		$602.56	$2,238.72	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $177.83 / $371.54	Professional		$67.61	$177.83	$371.54