Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $4,466.84 / $12,882.50	Facility		$489.78	$4,466.84	$12,882.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,786.30 / $5,370.32 / $5,370.32	Facility	50	$4,786.30	$5,370.32	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $457.09 / $870.96	Professional		$323.59	$457.09	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $489.78	Professional		$275.42	$354.81	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $13,803.84 / $19,054.61	Facility		$5,128.61	$13,803.84	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $512.86 / $794.33	Professional		$346.74	$512.86	$794.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $398.11 / $457.09	Facility		$338.84	$398.11	$457.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $389.05 / $457.09	Professional		$316.23	$389.05	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $562.34 / $794.33	Facility		$346.74	$562.34	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $831.76	Professional		$338.84	$446.68	$831.76
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 $338.84 / $426.58 / $676.08	Professional		$338.84	$426.58	$676.08