Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.30 / $9,666.79 / $14,063.00	Facility		$704.30	$9,666.79	$14,063.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,721.65 / $10,547.25 / $21,094.50	Facility	50	$6,721.65	$10,547.25	$21,094.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.01 / $560.72 / $1,086.00	Professional		$454.01	$560.72	$1,086.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.49 / $595.39 / $654.28	Professional		$40.49	$595.39	$654.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,144.00 / $8,766.00 / $14,116.00	Facility		$4,144.00	$8,766.00	$14,116.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $454.49 / $557.00 / $772.64	Professional		$454.49	$557.00	$772.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $467.34 / $625.60 / $914.90	Facility		$467.34	$625.60	$914.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $467.34 / $560.80 / $744.83	Professional		$467.34	$560.80	$744.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,258.41 / $9,793.79 / $9,794.00	Facility		$2,258.41	$9,793.79	$9,794.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $58.98 / $58.98 / $58.98	Facility	AS	$58.98	$58.98	$58.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.65 / $603.73 / $1,054.18	Professional		$488.65	$603.73	$1,054.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,699.00 / $6,741.00 / $11,284.00	Facility		$2,699.00	$6,741.00	$11,284.00
United Facility/Professional Professional Modifier Low / Median / High Price $454.41 / $564.54 / $927.44	Professional		$454.41	$564.54	$927.44