Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.94 / $3,581.33 / $10,454.99	Facility		$336.94	$3,581.33	$10,454.99
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,378.23 / $4,754.39 / $10,777.96	Facility	50	$3,378.23	$4,754.39	$10,777.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.81 / $565.20 / $2,056.40	Professional		$297.81	$565.20	$2,056.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $423.90 / $570.41 / $570.41	Professional	50	$423.90	$570.41	$570.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.25 / $303.42 / $391.52	Professional		$129.25	$303.42	$391.52
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $227.57 / $293.64 / $489.39	Professional	50	$227.57	$293.64	$489.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $456.30 / $456.30 / $880.66	Facility		$456.30	$456.30	$880.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.89 / $725.51 / $2,136.35	Professional		$314.89	$725.51	$2,136.35
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $472.33 / $1,078.61 / $3,204.53	Professional	50	$472.33	$1,078.61	$3,204.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $261.01 / $339.31 / $528.54	Facility		$261.01	$339.31	$528.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,208.80 / $1,450.56 / $1,813.20	Professional		$1,208.80	$1,450.56	$1,813.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.98 / $500.98 / $500.98	Facility		$500.98	$500.98	$500.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.46 / $666.50 / $2,745.75	Professional		$333.46	$666.50	$2,745.75
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,174.00 / $4,426.00	Facility		$933.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,326.13 / $1,890.23 / $3,629.89	Professional		$1,326.13	$1,890.23	$3,629.89