Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.33 / $1,686.00 / $7,212.00	Facility		$290.33	$1,686.00	$7,212.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $217.75 / $233.96 / $380.31	Facility	54	$217.75	$233.96	$380.31
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $43.55 / $46.79 / $76.06	Facility	55	$43.55	$46.79	$76.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.61 / $329.48 / $553.30	Professional		$286.61	$329.48	$553.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $467.91 / $467.91 / $467.91	Professional	50	$467.91	$467.91	$467.91
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $217.75 / $240.04 / $315.83	Professional	54	$217.75	$240.04	$315.83
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $43.55 / $47.91 / $56.26	Professional	55	$43.55	$47.91	$56.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $261.02 / $279.05 / $420.07	Professional		$261.02	$279.05	$420.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,686.00 / $4,105.00 / $6,834.00	Facility		$1,686.00	$4,105.00	$6,834.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.97 / $279.93 / $348.43	Professional		$213.97	$279.93	$348.43
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $320.95 / $419.90 / $522.64	Professional	50	$320.95	$419.90	$522.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $280.66 / $364.86 / $547.29	Facility		$280.66	$364.86	$547.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $300.05 / $345.06 / $450.08	Professional		$300.05	$345.06	$450.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $1,685.82 / $1,686.00	Facility		$420.00	$1,685.82	$1,686.00
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $355.52 / $355.52 / $355.52	Facility	54	$355.52	$355.52	$355.52
Cigna Facility/Professional Facility Modifier 55 Low / Median / High Price $76.18 / $76.18 / $76.18	Facility	55	$76.18	$76.18	$76.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.88 / $326.20 / $576.62	Professional		$235.88	$326.20	$576.62
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 $267.95 / $360.06 / $644.55	Professional		$267.95	$360.06	$644.55