Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $2,630.27 / $11,220.18	Facility		$177.83	$2,630.27	$11,220.18
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $13,489.63 / $13,489.63 / $13,489.63	Facility	50	$13,489.63	$13,489.63	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $363.08	Professional		$109.65	$181.97	$363.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $549.54 / $549.54 / $549.54	Professional	50	$549.54	$549.54	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,265.80 / $8,317.64	Facility		$2,187.76	$4,265.80	$8,317.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $162.18 / $275.42	Professional		$97.72	$162.18	$275.42
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $245.47 / $416.87	Professional	50	$147.91	$245.47	$416.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $120.23 / $138.04	Facility		$117.49	$120.23	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $190.55 / $363.08	Facility		$123.03	$190.55	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $186.21 / $407.38	Professional		$117.49	$186.21	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $2,137.96 / $5,754.40	Facility		$194.98	$2,137.96	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $281.84	Professional		$112.20	$173.78	$281.84