Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $4,897.79 / $14,125.38	Facility		$346.74	$4,897.79	$14,125.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.85 / $660.69 / $48,977.88	Facility	50	$0.85	$660.69	$48,977.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $1,380.38 / $4,677.35	Professional		$251.19	$1,380.38	$4,677.35
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $14,125.38 / $14,125.38 / $14,791.08	Professional	50	$14,125.38	$14,125.38	$14,791.08
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $158.49 / $3,630.78 / $6,165.95	Professional	50	$158.49	$3,630.78	$6,165.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $25,703.96 / $35,481.34	Facility		$10,232.93	$25,703.96	$35,481.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $2,290.87 / $5,011.87	Professional		$245.47	$2,290.87	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $363.08 / $3,388.44 / $7,413.10	Professional	50	$363.08	$3,388.44	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $33.88 / $316.23 / $691.83	Professional	AS	$33.88	$316.23	$691.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $257.04 / $288.40	Facility		$245.47	$257.04	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $3,388.44 / $5,888.44	Facility		$263.03	$3,388.44	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $2,290.87 / $5,754.40	Professional		$269.15	$2,290.87	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,762.47 / $10,964.78	Facility		$4,073.80	$7,762.47	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $2,884.03 / $5,754.40	Professional		$245.47	$2,884.03	$5,754.40