Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $629.32 / $6,966.27 / $14,310.24	Facility		$629.32	$6,966.27	$14,310.24
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $15,614.93 / $15,614.93 / $15,614.93	Facility	50	$15,614.93	$15,614.93	$15,614.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.12 / $696.96 / $2,109.81	Professional		$519.12	$696.96	$2,109.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $486.99 / $608.74 / $781.11	Professional		$486.99	$608.74	$781.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,536.00 / $7,833.00 / $14,645.00	Facility		$3,536.00	$7,833.00	$14,645.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.17 / $860.60 / $1,187.61	Professional		$529.17	$860.60	$1,187.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $512.62 / $666.41 / $1,038.06	Facility		$512.62	$666.41	$1,038.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $512.62 / $615.14 / $768.93	Professional		$512.62	$615.14	$768.93
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 $564.16 / $799.02 / $1,298.76	Professional		$564.16	$799.02	$1,298.76
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 $467.43 / $658.07 / $1,148.97	Professional		$467.43	$658.07	$1,148.97