Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.81 / $2,187.36 / $7,703.81	Facility		$166.81	$2,187.36	$7,703.81
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,496.81 / $9,496.81 / $9,496.81	Facility	50	$9,496.81	$9,496.81	$9,496.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.31 / $246.08 / $657.50	Professional		$118.31	$246.08	$657.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.72 / $144.41 / $152.01	Professional		$135.72	$144.41	$152.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,840.00 / $7,747.00	Facility		$1,682.00	$3,840.00	$7,747.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.24 / $333.99 / $661.41	Professional		$172.24	$333.99	$661.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.44 / $174.87 / $623.07	Facility		$121.44	$174.87	$623.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $467.60 / $578.92 / $801.60	Professional		$467.60	$578.92	$801.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $949.22 / $949.22 / $949.22	Facility		$949.22	$949.22	$949.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.10 / $271.44 / $751.40	Professional		$133.10	$271.44	$751.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $5,490.00	Facility		$2,400.00	$3,870.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.47 / $612.16 / $1,441.03	Professional		$161.47	$612.16	$1,441.03