Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.66 / $1,386.00 / $11,093.00	Facility		$371.66	$1,386.00	$11,093.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $11,982.18 / $11,982.18 / $11,982.18	Facility	50	$11,982.18	$11,982.18	$11,982.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.66 / $543.74 / $783.38	Professional		$371.66	$543.74	$783.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,890.30 / $1,890.30 / $1,890.30	Professional	50	$1,890.30	$1,890.30	$1,890.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $268.43 / $357.02 / $483.18	Professional		$268.43	$357.02	$483.18
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $535.53 / $535.53 / $562.85	Professional	50	$535.53	$535.53	$562.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $7,572.00 / $18,942.00	Facility		$1,614.00	$7,572.00	$18,942.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.31 / $634.66 / $950.40	Professional		$453.31	$634.66	$950.40
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $679.96 / $951.99 / $1,425.60	Professional	50	$679.96	$951.99	$1,425.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $306.68 / $441.62 / $649.44	Facility		$306.68	$441.62	$649.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $452.13 / $559.78 / $775.08	Professional		$452.13	$559.78	$775.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.55 / $312.55 / $312.55	Facility		$312.55	$312.55	$312.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.58 / $694.37 / $1,537.60	Professional		$411.58	$694.37	$1,537.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,025.00 / $11,038.00	Facility		$3,932.00	$8,025.00	$11,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $484.19 / $689.79 / $1,168.36	Professional		$484.19	$689.79	$1,168.36