Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $977.24 / $3,630.78	Facility		$66.07	$977.24	$3,630.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $616.60 / $1,380.38 / $1,949.84	Facility	50	$616.60	$1,380.38	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $97.72 / $549.54	Professional		$54.95	$97.72	$549.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $89.13 / $218.78 / $891.25	Professional	50	$89.13	$218.78	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $70.79 / $91.20	Professional		$47.86	$70.79	$91.20
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $128.82 / $147.91	Professional	50	$81.28	$128.82	$147.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $977.24 / $3,388.44	Facility		$63.10	$977.24	$3,388.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $74.13 / $117.49	Professional		$48.98	$74.13	$117.49
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $112.20 / $177.83	Professional	50	$74.13	$112.20	$177.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $67.61 / $77.62	Facility		$53.70	$67.61	$77.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $128.82	Professional		$89.13	$114.82	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $104.71 / $190.55	Facility		$67.61	$104.71	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $97.72 / $147.91	Professional		$63.10	$97.72	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,238.72 / $7,413.10	Facility		$933.25	$2,238.72	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $89.13 / $162.18	Professional		$53.70	$89.13	$162.18