Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $9,772.37 / $26,915.35	Facility		$1,698.24	$9,772.37	$26,915.35
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $15,848.93 / $27,542.29 / $79,432.82	Facility	50	$15,848.93	$27,542.29	$79,432.82
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $16,982.44 / $16,982.44 / $31,622.78	Facility	AS	$16,982.44	$16,982.44	$31,622.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,995.26 / $8,912.51	Professional		$977.24	$1,995.26	$8,912.51
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $165.96 / $316.23 / $933.25	Professional	AS	$165.96	$316.23	$933.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $1,122.02 / $1,698.24	Professional		$158.49	$1,122.02	$1,698.24
Ambetter Facility/Professional Professional Modifier AS Low / Median / High Price $138.04 / $302.00 / $354.81	Professional	AS	$138.04	$302.00	$354.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $38,904.51 / $57,543.99	Facility		$21,379.62	$38,904.51	$57,543.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,089.30 / $3,388.44	Professional		$1,348.96	$2,089.30	$3,388.44
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $186.21 / $295.12 / $478.63	Professional	AS	$186.21	$295.12	$478.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $1,659.59	Facility		$1,148.15	$1,412.54	$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 $1,412.54 / $2,754.23 / $3,890.45	Facility		$1,412.54	$2,754.23	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $3,019.95	Professional		$1,258.93	$1,737.80	$3,019.95
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 / $1,584.89 / $2,754.23	Professional		$1,122.02	$1,584.89	$2,754.23