Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.29 / $4,884.56 / $17,408.00	Facility		$402.29	$4,884.56	$17,408.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $974.80 / $18,373.16 / $26,234.84	Facility	50	$974.80	$18,373.16	$26,234.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.25 / $770.12 / $2,359.67	Professional		$312.25	$770.12	$2,359.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $407.44 / $416.89 / $416.89	Professional	50	$407.44	$416.89	$416.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $197.36 / $236.84 / $335.75	Professional		$197.36	$236.84	$335.75
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $220.25 / $221.14 / $1,118.02	Professional	50	$220.25	$221.14	$1,118.02
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 Low / Median / High Price $326.05 / $1,160.67 / $2,362.55	Professional		$326.05	$1,160.67	$2,362.55
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $489.07 / $1,741.00 / $3,543.83	Professional	50	$489.07	$1,741.00	$3,543.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $315.77 / $410.51 / $639.45	Facility		$315.77	$410.51	$639.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,742.83 / $2,004.25 / $2,614.25	Professional		$1,742.83	$2,004.25	$2,614.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $621.90 / $621.90 / $621.90	Facility		$621.90	$621.90	$621.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.28 / $749.95 / $3,137.09	Professional		$389.28	$749.95	$3,137.09
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 $1,713.09 / $2,049.31 / $3,537.11	Professional		$1,713.09	$2,049.31	$3,537.11