Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.25 / $280.77 / $5,634.00	Facility		$109.25	$280.77	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.71 / $135.88 / $237.68	Professional		$106.71	$135.88	$237.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $217.52 / $221.73 / $513.26	Professional	50	$217.52	$221.73	$513.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.30 / $114.60 / $184.85	Professional		$57.30	$114.60	$184.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $3,896.00 / $8,230.00	Facility		$856.00	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.96 / $110.55 / $156.97	Professional		$93.96	$110.55	$156.97
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $140.94 / $165.82 / $235.47	Professional	50	$140.94	$165.82	$235.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $106.82 / $143.01 / $216.32	Facility		$106.82	$143.01	$216.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.23 / $147.88 / $194.09	Professional		$123.23	$147.88	$194.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.21 / $106.21 / $125.90	Facility		$106.21	$106.21	$125.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.58 / $178.62 / $275.68	Professional		$127.58	$178.62	$275.68
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 $114.22 / $158.54 / $266.72	Professional		$114.22	$158.54	$266.72