Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.02 / $3,500.00 / $9,928.85	Facility		$280.02	$3,500.00	$9,928.85
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,351.77 / $1,351.77 / $7,881.38	Facility	50	$1,351.77	$1,351.77	$7,881.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.90 / $302.26 / $398.35	Professional		$229.90	$302.26	$398.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $142.29 / $284.58	Professional		$142.29	$142.29	$284.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,266.00 / $5,570.00 / $13,810.27	Facility		$2,266.00	$5,570.00	$13,810.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.34 / $250.42 / $363.77	Professional		$207.34	$250.42	$363.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $241.89 / $348.32 / $512.24	Facility		$241.89	$348.32	$512.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $313.89 / $388.62 / $538.10	Professional		$313.89	$388.62	$538.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,061.25 / $2,061.25 / $2,061.25	Facility		$2,061.25	$2,061.25	$2,061.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.89 / $338.31 / $651.07	Professional		$257.89	$338.31	$651.07
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $289.95 / $367.51 / $655.35	Professional		$289.95	$367.51	$655.35