Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.18 / $3,899.92 / $18,500.00	Facility		$361.18	$3,899.92	$18,500.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,243.66 / $9,243.66 / $17,915.52	Facility	50	$9,243.66	$9,243.66	$17,915.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.77 / $685.67 / $1,953.30	Professional		$303.77	$685.67	$1,953.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,919.51 / $1,919.51 / $1,919.51	Professional	50	$1,919.51	$1,919.51	$1,919.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $301.25 / $426.53 / $426.53	Professional		$301.25	$426.53	$426.53
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $533.16 / $533.16 / $569.34	Professional	50	$533.16	$533.16	$569.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,429.00 / $10,338.00 / $26,304.00	Facility		$1,429.00	$10,338.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.82 / $967.94 / $2,133.16	Professional		$298.82	$967.94	$2,133.16
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $448.23 / $1,194.92 / $3,192.14	Professional	50	$448.23	$1,194.92	$3,192.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $302.13 / $398.09 / $639.79	Facility		$302.13	$398.09	$639.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,467.74 / $1,834.68 / $2,641.94	Professional		$1,467.74	$1,834.68	$2,641.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $558.72 / $558.72 / $558.72	Facility		$558.72	$558.72	$558.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.64 / $680.14 / $2,641.94	Professional		$347.64	$680.14	$2,641.94
United Facility/Professional Facility Modifier Low / Median / High Price $5,431.00 / $11,200.00 / $17,416.00	Facility		$5,431.00	$11,200.00	$17,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,423.80 / $1,788.67 / $3,136.79	Professional		$1,423.80	$1,788.67	$3,136.79