Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.59 / $756.67 / $4,846.00	Facility		$46.59	$756.67	$4,846.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $594.14 / $798.25 / $1,104.83	Facility	50	$594.14	$798.25	$1,104.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $70.23 / $224.20	Professional		$39.36	$70.23	$224.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $61.01 / $71.58 / $403.25	Professional	50	$61.01	$71.58	$403.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.43 / $48.30 / $56.82	Professional		$40.43	$48.30	$56.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $740.96 / $4,119.97 / $8,230.00	Facility		$740.96	$4,119.97	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.74 / $75.05 / $112.84	Professional		$42.74	$75.05	$112.84
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $64.11 / $112.58 / $169.26	Professional	50	$64.11	$112.58	$169.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.88 / $50.72 / $77.56	Facility		$37.88	$50.72	$77.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.11 / $83.89 / $105.71	Professional		$67.11	$83.89	$105.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.70 / $60.70 / $71.95	Facility		$60.70	$60.70	$71.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $92.19 / $161.66	Professional		$48.75	$92.19	$161.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $3,267.00 / $4,271.00	Facility		$1,638.00	$3,267.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.30 / $94.50 / $161.11	Professional		$65.30	$94.50	$161.11