Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $7,762.47 / $15,488.17	Facility		$707.95	$7,762.47	$15,488.17
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,760.83 / $14,791.08 / $20,892.96	Facility	50	$6,760.83	$14,791.08	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $776.25 / $1,479.11	Professional		$501.19	$776.25	$1,479.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $549.54 / $724.44	Professional		$446.68	$549.54	$724.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $10,715.19 / $19,054.61	Facility		$4,365.16	$10,715.19	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $891.25	Professional		$457.09	$562.34	$891.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $602.56 / $691.83	Facility		$501.19	$602.56	$691.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $758.58	Professional		$467.74	$616.60	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $9,772.37 / $9,772.37	Facility		$2,238.72	$9,772.37	$9,772.37
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility	22	$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $89.13 / $89.13 / $89.13	Facility	AS	$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $676.08 / $1,047.13	Professional		$426.58	$676.08	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $7,762.47 / $10,964.78	Facility		$2,951.21	$7,762.47	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $851.14	Professional		$436.52	$562.34	$851.14