Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.83 / $227.14 / $5,412.29	Facility		$33.83	$227.14	$5,412.29
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $56.15 / $1,569.46 / $2,913.12	Facility	50	$56.15	$1,569.46	$2,913.12
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $14.84 / $21.58 / $36.76	Facility	52	$14.84	$21.58	$36.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.10 / $43.16 / $77.20	Professional		$29.10	$43.16	$77.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $66.44 / $83.78 / $126.08	Professional	50	$66.44	$83.78	$126.08
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.55 / $19.76 / $21.99	Professional	52	$14.55	$19.76	$21.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.38 / $55.46 / $65.25	Professional		$34.38	$55.46	$65.25
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $68.59 / $80.70 / $97.88	Professional	50	$68.59	$80.70	$97.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.00 / $3,896.00 / $8,230.00	Facility		$949.00	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $45.30 / $82.89	Professional		$26.81	$45.30	$82.89
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $40.22 / $67.95 / $124.34	Professional	50	$40.22	$67.95	$124.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.18 / $37.93 / $45.23	Facility		$29.18	$37.93	$45.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $50.03 / $62.21	Professional		$43.50	$50.03	$62.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $54.92 / $99.90	Professional		$36.67	$54.92	$99.90
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 $44.75 / $54.12 / $93.05	Professional		$44.75	$54.12	$93.05