Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.24 / $1,311.74 / $11,093.00	Facility		$303.24	$1,311.74	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.24 / $456.56 / $661.51	Professional		$303.24	$456.56	$661.51
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $151.62 / $211.03 / $296.02	Professional	52	$151.62	$211.03	$296.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.94 / $181.76 / $363.52	Professional		$144.94	$181.76	$363.52
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $217.43 / $217.43 / $217.43	Professional	50	$217.43	$217.43	$217.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $9,200.00 / $18,942.00	Facility		$1,614.00	$9,200.00	$18,942.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.01 / $492.32 / $764.54	Professional		$358.01	$492.32	$764.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $537.01 / $738.48 / $1,146.81	Professional	50	$537.01	$738.48	$1,146.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $249.03 / $358.61 / $527.36	Facility		$249.03	$358.61	$527.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $381.70 / $472.58 / $654.33	Professional		$381.70	$472.58	$654.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.30 / $278.30 / $278.30	Facility		$278.30	$278.30	$278.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.20 / $566.55 / $1,251.46	Professional		$336.20	$566.55	$1,251.46
United Facility/Professional Facility Modifier Low / Median / High Price $3,200.00 / $8,348.00 / $11,284.00	Facility		$3,200.00	$8,348.00	$11,284.00
United Facility/Professional Professional Modifier Low / Median / High Price $414.23 / $590.48 / $908.00	Professional		$414.23	$590.48	$908.00