Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.70 / $165.30 / $425.52	Facility		$24.70	$165.30	$425.52
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $338.29 / $356.64 / $537.99	Facility	50	$338.29	$356.64	$537.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $44.64 / $80.23	Professional		$24.70	$44.64	$80.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $77.36 / $77.36 / $77.36	Professional	50	$77.36	$77.36	$77.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $54.06 / $57.79	Professional		$33.32	$54.06	$57.79
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $35.70 / $35.70 / $79.62	Professional	50	$35.70	$35.70	$79.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $4,097.10 / $8,230.00	Facility		$575.00	$4,097.10	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.44 / $26.41 / $39.61	Professional		$22.44	$26.41	$39.61
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $33.67 / $39.61 / $59.42	Professional	50	$33.67	$39.61	$59.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.80 / $30.94 / $49.98	Facility		$23.80	$30.94	$49.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.91 / $68.29 / $85.37	Professional		$56.91	$68.29	$85.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.48 / $55.48 / $65.77	Facility		$55.48	$55.48	$65.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.44 / $54.33 / $102.43	Professional		$30.44	$54.33	$102.43
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 $46.19 / $63.38 / $110.43	Professional		$46.19	$63.38	$110.43