Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $17,378.01 / $33,113.11	Facility		$1,778.28	$17,378.01	$33,113.11
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $21,877.62 / $21,877.62 / $21,877.62	Facility	50	$21,877.62	$21,877.62	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,949.84 / $7,762.47	Professional		$1,071.52	$1,949.84	$7,762.47
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $165.96 / $316.23 / $851.14	Professional	AS	$165.96	$316.23	$851.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $1,148.15 / $1,737.80	Professional		$165.96	$1,148.15	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $32,359.37 / $54,954.09	Facility		$14,791.08	$32,359.37	$54,954.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,995.26 / $3,090.30	Professional		$1,230.27	$1,995.26	$3,090.30
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $173.78 / $275.42 / $426.58	Professional	AS	$173.78	$275.42	$426.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $1,659.59	Facility		$1,148.15	$1,445.44	$1,659.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $1,659.59	Professional		$1,174.90	$1,479.11	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $15,135.61	Facility		$15,135.61	$15,135.61	$15,135.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $3,162.28	Professional		$1,318.26	$1,778.28	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $13,803.84 / $22,908.68	Facility		$6,456.54	$13,803.84	$22,908.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $2,691.53	Professional		$1,122.02	$1,548.82	$2,691.53