Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.46 / $170.28 / $4,846.00	Facility		$23.46	$170.28	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $14.59 / $27.94	Professional		$11.94	$14.59	$27.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $17.91 / $29.88 / $43.86	Professional	50	$17.91	$29.88	$43.86
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $5.99 / $6.82 / $9.49	Professional	52	$5.99	$6.82	$9.49
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $2.39 / $2.73 / $3.79	Professional	53	$2.39	$2.73	$3.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $16.51 / $19.73	Professional		$11.61	$16.51	$19.73
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $16.45 / $24.77 / $31.23	Professional	50	$16.45	$24.77	$31.23
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 $11.09 / $18.00 / $30.45	Professional		$11.09	$18.00	$30.45
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $16.63 / $27.01 / $45.67	Professional	50	$16.63	$27.01	$45.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.88 / $18.73 / $29.15	Facility		$13.88	$18.73	$29.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $16.66 / $20.82	Professional		$13.88	$16.66	$20.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $17.22 / $30.45	Professional		$13.44	$17.22	$30.45
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 $11.78 / $15.55 / $27.93	Professional		$11.78	$15.55	$27.93