Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $866.55 / $4,811.97 / $10,041.03	Facility		$866.55	$4,811.97	$10,041.03
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,660.45 / $8,881.27 / $9,769.37	Facility	50	$2,660.45	$8,881.27	$9,769.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.85 / $521.85 / $1,324.00	Professional		$428.85	$521.85	$1,324.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $448.13 / $560.16 / $707.58	Professional		$448.13	$560.16	$707.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.00 / $7,876.00 / $11,989.00	Facility		$2,754.00	$7,876.00	$11,989.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.10 / $540.29 / $745.61	Professional		$402.10	$540.29	$745.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $471.72 / $613.24 / $920.60	Facility		$471.72	$613.24	$920.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $471.72 / $566.05 / $707.58	Professional		$471.72	$566.05	$707.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,123.45 / $1,123.45 / $1,331.74	Facility		$1,123.45	$1,123.45	$1,331.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.35 / $599.91 / $1,037.33	Professional		$454.35	$599.91	$1,037.33
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,348.00 / $12,569.00	Facility		$3,932.00	$8,348.00	$12,569.00
United Facility/Professional Professional Modifier Low / Median / High Price $412.14 / $546.05 / $997.63	Professional		$412.14	$546.05	$997.63