Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.30 / $1,396.96 / $7,212.00	Facility		$316.30	$1,396.96	$7,212.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $10,668.75 / $10,668.75 / $10,668.75	Facility	50	$10,668.75	$10,668.75	$10,668.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.82 / $1,094.64 / $1,546.66	Professional		$277.82	$1,094.64	$1,546.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $259.29 / $259.29 / $259.29	Professional		$259.29	$259.29	$259.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $9,200.00 / $18,942.00	Facility		$1,614.00	$9,200.00	$18,942.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.33 / $790.57 / $1,945.21	Professional		$276.33	$790.57	$1,945.21
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $414.51 / $1,105.24 / $2,917.81	Professional	50	$414.51	$1,105.24	$2,917.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $251.89 / $345.73 / $555.65	Facility		$251.89	$345.73	$555.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,059.05 / $1,270.85 / $1,906.29	Professional		$1,059.05	$1,270.85	$1,906.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.50 / $482.50 / $482.50	Facility		$482.50	$482.50	$482.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.86 / $614.99 / $2,247.62	Professional		$303.86	$614.99	$2,247.62
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,348.00 / $11,284.00	Facility		$3,932.00	$8,348.00	$11,284.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,124.99 / $1,538.10 / $2,735.28	Professional		$1,124.99	$1,538.10	$2,735.28