Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.11 / $574.70 / $7,212.00	Facility		$192.11	$574.70	$7,212.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $144.08 / $172.33 / $370.29	Facility	54	$144.08	$172.33	$370.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.11 / $258.56 / $416.93	Professional		$192.11	$258.56	$416.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $501.82 / $1,080.00 / $1,080.00	Professional	50	$501.82	$1,080.00	$1,080.00
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $144.08 / $172.33 / $230.47	Professional	54	$144.08	$172.33	$230.47
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $28.82 / $34.47 / $43.24	Professional	55	$28.82	$34.47	$43.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $185.94 / $185.94 / $221.13	Professional		$185.94	$185.94	$221.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.87 / $393.22 / $545.54	Professional		$263.87	$393.22	$545.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $395.80 / $589.83 / $818.32	Professional	50	$395.80	$589.83	$818.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.94 / $241.72 / $362.58	Facility		$185.94	$241.72	$362.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $221.13 / $265.36 / $331.70	Professional		$221.13	$265.36	$331.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.66 / $340.33 / $450.00	Facility		$161.66	$340.33	$450.00
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $238.23 / $238.23 / $238.23	Facility	54	$238.23	$238.23	$238.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.05 / $328.02 / $525.17	Professional		$228.05	$328.02	$525.17
United Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $2,811.00 / $4,271.00	Facility		$462.00	$2,811.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.04 / $307.64 / $505.64	Professional		$227.04	$307.64	$505.64