Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.32 / $4,212.53 / $7,212.00	Facility		$421.32	$4,212.53	$7,212.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,989.42 / $9,207.36 / $9,692.59	Facility	50	$3,989.42	$9,207.36	$9,692.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $328.00 / $856.00	Professional		$129.63	$328.00	$856.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.20 / $180.28 / $394.07	Professional		$126.20	$180.28	$394.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,554.00 / $4,118.00 / $8,240.00	Facility		$1,554.00	$4,118.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.77 / $397.74 / $1,087.27	Professional		$176.77	$397.74	$1,087.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.68 / $187.22 / $312.02	Facility		$138.68	$187.22	$312.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $433.04 / $519.65 / $649.55	Professional		$433.04	$519.65	$649.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,118.00 / $4,118.00 / $4,118.00	Facility		$4,118.00	$4,118.00	$4,118.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.04 / $571.85 / $1,063.71	Professional		$186.04	$571.85	$1,063.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $5,490.00	Facility		$2,400.00	$3,870.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $567.99 / $754.06 / $1,181.42	Professional		$567.99	$754.06	$1,181.42