Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $1,584.89 / $7,244.36	Facility		$208.93	$1,584.89	$7,244.36
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,570.40 / $6,025.60 / $10,000.00	Facility	50	$2,570.40	$6,025.60	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $295.12 / $602.56	Professional		$169.82	$295.12	$602.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $42.66 / $245.47 / $2,884.03	Professional	50	$42.66	$245.47	$2,884.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $169.82 / $1,412.54	Professional	50	$109.65	$169.82	$1,412.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $8,317.64 / $10,471.29	Facility		$2,344.23	$8,317.64	$10,471.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $549.54 / $812.83	Professional		$302.00	$549.54	$812.83
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $446.68 / $812.83 / $1,230.27	Professional	50	$446.68	$812.83	$1,230.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $208.93 / $229.09	Facility		$165.96	$208.93	$229.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $302.00 / $389.05	Professional		$275.42	$302.00	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $416.87 / $891.25	Professional		$181.97	$416.87	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $6,025.60 / $10,715.19	Facility		$2,691.53	$6,025.60	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $338.84 / $524.81	Professional		$169.82	$338.84	$524.81