Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.24 / $2,336.25 / $18,178.61	Facility		$404.24	$2,336.25	$18,178.61
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,743.17 / $20,337.41 / $40,674.82	Facility	50	$3,743.17	$20,337.41	$40,674.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $733.50 / $1,256.73 / $1,677.00	Professional	50	$733.50	$1,256.73	$1,677.00
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $443.25 / $714.92 / $815.91	Professional	50	$443.25	$714.92	$815.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $10,700.00 / $25,437.00	Facility		$2,310.00	$10,700.00	$25,437.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $488.17 / $1,708.33 / $3,476.49	Professional	50	$488.17	$1,708.33	$3,476.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $317.74 / $413.06 / $643.42	Facility		$317.74	$413.06	$643.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.15 / $626.15 / $626.15	Facility		$626.15	$626.15	$626.15
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