Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.56 / $4,830.85 / $14,550.82	Facility		$413.56	$4,830.85	$14,550.82
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,251.00 / $1,251.00 / $1,251.00	Facility	50	$1,251.00	$1,251.00	$1,251.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.18 / $482.22 / $1,475.38	Professional		$300.18	$482.22	$1,475.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $468.00 / $540.00	Professional		$171.00	$468.00	$540.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $6,474.00 / $13,758.00	Facility		$2,318.00	$6,474.00	$13,758.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.27 / $357.11 / $535.66	Professional		$256.27	$357.11	$535.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $360.00 / $468.00 / $729.00	Facility		$360.00	$468.00	$729.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $490.03 / $588.04 / $735.05	Professional		$490.03	$588.04	$735.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,116.34 / $2,116.34 / $2,508.71	Facility		$2,116.34	$2,116.34	$2,508.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.58 / $531.13 / $854.98	Professional		$370.58	$531.13	$854.98
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,032.00 / $10,413.00	Facility		$3,364.00	$6,032.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $406.10 / $562.14 / $988.85	Professional		$406.10	$562.14	$988.85