Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $338.84 / $3,467.37	Facility		$66.07	$338.84	$3,467.37
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $338.84 / $354.81 / $354.81	Facility	50	$338.84	$354.81	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $147.91 / $288.40	Professional		$54.95	$147.91	$288.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $112.20 / $309.03 / $416.87	Professional	50	$112.20	$309.03	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $147.91 / $208.93	Professional		$44.67	$147.91	$208.93
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $199.53 / $199.53 / $208.93	Professional	50	$199.53	$199.53	$208.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,466.84 / $8,709.64	Facility		$1,513.56	$4,466.84	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $97.72	Professional		$50.12	$60.26	$97.72
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $89.13 / $144.54	Professional	50	$74.13	$89.13	$144.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $66.07 / $74.13	Facility		$52.48	$66.07	$74.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $162.18 / $199.53	Professional		$144.54	$162.18	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $138.04 / $245.47	Facility		$61.66	$138.04	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $114.82 / $229.09	Professional		$63.10	$114.82	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $2,137.96 / $5,754.40	Facility		$107.15	$2,137.96	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $97.72 / $190.55	Professional		$54.95	$97.72	$190.55