Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.15 / $928.75 / $2,973.05	Facility		$58.15	$928.75	$2,973.05
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,696.35 / $1,696.35 / $1,696.35	Facility	50	$1,696.35	$1,696.35	$1,696.35
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $9.69 / $17.54 / $24.91	Facility	53	$9.69	$17.54	$24.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.61 / $96.43 / $300.00	Professional		$46.61	$96.43	$300.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $76.68 / $86.63 / $143.31	Professional	50	$76.68	$86.63	$143.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.18 / $64.76 / $99.85	Professional		$43.18	$64.76	$99.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $756.00 / $3,548.00 / $4,847.00	Facility		$756.00	$3,548.00	$4,847.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $64.70 / $91.88	Professional		$40.86	$64.70	$91.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $61.29 / $97.06 / $137.83	Professional	50	$61.29	$97.06	$137.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.43 / $62.16 / $94.79	Facility		$46.43	$62.16	$94.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.21 / $124.01 / $156.26	Professional		$99.21	$124.01	$156.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.83 / $110.18 / $238.06	Professional		$59.83	$110.18	$238.06
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.04 / $129.69 / $224.01	Professional		$84.04	$129.69	$224.01