Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $4,897.79 / $10,471.29	Facility		$371.54	$4,897.79	$10,471.29
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,311.31 / $6,309.57 / $14,125.38	Facility	50	$3,311.31	$6,309.57	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $269.15 / $616.60	Professional		$147.91	$269.15	$616.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $489.78 / $1,348.96	Professional	50	$169.82	$489.78	$1,348.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $218.78	Professional		$97.72	$144.54	$218.78
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $123.03 / $251.19 / $316.23	Professional	50	$123.03	$251.19	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $14,125.38 / $19,054.61	Facility		$4,265.80	$14,125.38	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $363.08 / $977.24	Professional		$169.82	$363.08	$977.24
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $257.04 / $537.03 / $1,479.11	Professional	50	$257.04	$537.03	$1,479.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $181.97 / $199.53	Facility		$144.54	$181.97	$199.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $380.19 / $489.78	Professional		$346.74	$380.19	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $389.05 / $954.99	Professional		$158.49	$389.05	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $6,025.60 / $10,715.19	Facility		$2,884.03	$6,025.60	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $338.84 / $741.31	Professional		$151.36	$338.84	$741.31