Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $3,467.37 / $7,244.36	Facility		$186.21	$3,467.37	$7,244.36
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,698.24 / $3,548.13 / $3,548.13	Facility	50	$1,698.24	$3,548.13	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $398.11	Professional		$123.03	$181.97	$398.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $446.68 / $4,265.80	Professional	50	$169.82	$446.68	$4,265.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $100.00	Professional		$66.07	$83.18	$100.00
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $114.82 / $114.82 / $114.82	Professional	50	$114.82	$114.82	$114.82
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 $162.18 / $239.88 / $363.08	Professional		$162.18	$239.88	$363.08
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $239.88 / $354.81 / $549.54	Professional	50	$239.88	$354.81	$549.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $158.49 / $181.97	Facility		$151.36	$158.49	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $446.68	Professional		$158.49	$234.42	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $6,025.60 / $10,715.19	Facility		$1,445.44	$6,025.60	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $288.40	Professional		$141.25	$181.97	$288.40