Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.33 / $1,876.98 / $4,057.59	Facility		$374.33	$1,876.98	$4,057.59
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,062.00 / $8,229.00 / $10,870.18	Facility	50	$2,062.00	$8,229.00	$10,870.18
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $439.01 / $2,672.91 / $2,967.90	Professional	50	$439.01	$2,672.91	$2,967.90
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $443.25 / $638.05 / $714.63	Professional	50	$443.25	$638.05	$714.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,020.00 / $9,787.00 / $15,815.00	Facility		$4,020.00	$9,787.00	$15,815.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $414.94 / $1,708.33 / $3,169.17	Professional	50	$414.94	$1,708.33	$3,169.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $340.30 / $459.41 / $561.50	Facility		$340.30	$459.41	$561.50
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 $973.00 / $6,818.00 / $11,706.00	Facility		$973.00	$6,818.00	$11,706.00