Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.80 / $1,695.50 / $6,900.00	Facility		$281.80	$1,695.50	$6,900.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $523.75 / $1,607.00 / $31,751.40	Facility	50	$523.75	$1,607.00	$31,751.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $198.63 / $845.61 / $1,127.48	Professional	50	$198.63	$845.61	$1,127.48
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $230.62 / $322.91 / $793.88	Professional	50	$230.62	$322.91	$793.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $235.11 / $433.00 / $837.18	Professional	50	$235.11	$433.00	$837.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $139.13 / $167.01 / $256.47	Facility		$139.13	$167.01	$256.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.09 / $205.09 / $205.09	Facility		$205.09	$205.09	$205.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.15 / $308.95 / $2,606.00	Professional		$143.15	$308.95	$2,606.00
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00