Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $744.03 / $7,382.59 / $14,203.12	Facility		$744.03	$7,382.59	$14,203.12
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,970.93 / $14,524.23 / $14,524.23	Facility	50	$3,970.93	$14,524.23	$14,524.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.32 / $646.99 / $1,168.00	Professional		$538.32	$646.99	$1,168.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $710.26 / $762.91 / $938.96	Professional		$710.26	$762.91	$938.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,309.00 / $6,474.00 / $13,810.27	Facility		$3,309.00	$6,474.00	$13,810.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.52 / $490.65 / $696.72	Professional		$392.52	$490.65	$696.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $586.85 / $794.13 / $1,232.39	Facility		$586.85	$794.13	$1,232.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $586.85 / $704.22 / $880.28	Professional		$586.85	$704.22	$880.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,061.25 / $2,061.25 / $2,061.25	Facility		$2,061.25	$2,061.25	$2,061.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.45 / $677.31 / $1,316.14	Professional		$415.45	$677.31	$1,316.14
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 $476.04 / $739.49 / $1,145.30	Professional		$476.04	$739.49	$1,145.30