Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.85 / $8,056.00 / $12,083.53	Facility		$425.85	$8,056.00	$12,083.53
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,306.62 / $9,306.62 / $22,417.92	Facility	50	$9,306.62	$9,306.62	$22,417.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.50 / $425.85 / $722.49	Professional		$341.50	$425.85	$722.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $374.85 / $477.55 / $581.14	Professional		$374.85	$477.55	$581.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,529.00 / $7,230.00 / $14,278.45	Facility		$3,529.00	$7,230.00	$14,278.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $404.78 / $505.98 / $790.03	Professional		$404.78	$505.98	$790.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.28 / $573.53 / $843.42	Facility		$398.28	$573.53	$843.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $488.16 / $604.38 / $836.84	Professional		$488.16	$604.38	$836.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,056.00 / $8,056.12 / $8,056.12	Facility		$8,056.00	$8,056.12	$8,056.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.59 / $526.33 / $986.62	Professional		$395.59	$526.33	$986.62
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $417.44 / $557.89 / $841.53	Professional		$417.44	$557.89	$841.53