Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.88 / $5,347.24 / $10,365.78	Facility		$413.88	$5,347.24	$10,365.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,680.39 / $6,319.94 / $8,739.36	Facility	50	$2,680.39	$6,319.94	$8,739.36
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $71.90 / $184.78 / $206.94	Facility	52	$71.90	$184.78	$206.94
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.76 / $73.91 / $82.78	Facility	53	$28.76	$73.91	$82.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.80 / $227.20 / $529.24	Professional		$143.80	$227.20	$529.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $547.35 / $547.35 / $1,334.30	Professional	50	$547.35	$547.35	$1,334.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.23 / $133.52 / $133.52	Professional		$27.23	$133.52	$133.52
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $280.39 / $280.39 / $280.39	Professional	50	$280.39	$280.39	$280.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $6,111.00 / $14,241.00	Facility		$2,318.00	$6,111.00	$14,241.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.06 / $361.15 / $887.54	Professional		$181.06	$361.15	$887.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $271.58 / $541.72 / $1,331.31	Professional	50	$271.58	$541.72	$1,331.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $140.55 / $189.74 / $316.25	Facility		$140.55	$189.74	$316.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $336.49 / $403.79 / $516.21	Professional		$336.49	$403.79	$516.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,218.40 / $2,218.40 / $2,218.40	Facility		$2,218.40	$2,218.40	$2,218.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.18 / $333.79 / $887.54	Professional		$158.18	$333.79	$887.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $390.34 / $505.14 / $852.07	Professional		$390.34	$505.14	$852.07