Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,494.00 / $15,876.00 / $32,419.55	Facility		$1,494.00	$15,876.00	$32,419.55
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $22,077.02 / $22,077.02 / $22,077.02	Facility	50	$22,077.02	$22,077.02	$22,077.02
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $889.54 / $889.54 / $1,462.80	Facility	54	$889.54	$889.54	$1,462.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,166.59 / $1,369.95 / $7,061.29	Professional		$1,166.59	$1,369.95	$7,061.29
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $156.94 / $314.16 / $486.63	Professional	AS	$156.94	$314.16	$486.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.38 / $1,370.47 / $1,731.12	Professional		$186.38	$1,370.47	$1,731.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,117.00 / $24,714.00 / $45,835.00	Facility		$9,117.00	$24,714.00	$45,835.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,207.13 / $1,975.00 / $2,725.50	Professional		$1,207.13	$1,975.00	$2,725.50
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $168.99 / $276.50 / $381.57	Professional	AS	$168.99	$276.50	$381.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,154.08 / $1,500.30 / $2,259.35	Facility		$1,154.08	$1,500.30	$2,259.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,154.08 / $1,384.90 / $1,731.12	Professional		$1,154.08	$1,384.90	$1,731.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,663.32 / $12,663.32 / $15,011.12	Facility		$12,663.32	$12,663.32	$15,011.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,304.65 / $1,742.59 / $2,886.07	Professional		$1,304.65	$1,742.59	$2,886.07
United Facility/Professional Facility Modifier Low / Median / High Price $6,526.00 / $15,288.00 / $23,366.00	Facility		$6,526.00	$15,288.00	$23,366.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.30 / $1,532.66 / $2,728.34	Professional		$1,096.30	$1,532.66	$2,728.34