Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $2,089.30 / $5,623.41	Facility		$190.55	$2,089.30	$5,623.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $831.76 / $831.76 / $3,548.13	Facility	50	$831.76	$831.76	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $245.47 / $776.25	Professional		$120.23	$245.47	$776.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.40 / $831.76 / $2,511.89	Professional	50	$288.40	$831.76	$2,511.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $229.09	Professional		$109.65	$165.96	$229.09
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $251.19 / $251.19 / $251.19	Professional	50	$251.19	$251.19	$251.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $4,265.80 / $8,317.64	Facility		$1,479.11	$4,265.80	$8,317.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $208.93	Professional		$95.50	$117.49	$208.93
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $144.54 / $173.78 / $316.23	Professional	50	$144.54	$173.78	$316.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $131.83 / $151.36	Facility		$120.23	$131.83	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $331.13 / $616.60	Facility		$151.36	$331.13	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $251.19 / $436.52	Professional		$131.83	$251.19	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,818.38 / $4,466.84	Facility		$741.31	$2,818.38	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $218.78 / $416.87	Professional		$114.82	$218.78	$416.87