Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,913.50 / $8,739.36 / $16,776.09	Facility		$2,913.50	$8,739.36	$16,776.09
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,414.84 / $9,094.07 / $17,657.86	Facility	50	$5,414.84	$9,094.07	$17,657.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.94 / $429.44 / $687.88	Professional		$383.94	$429.44	$687.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $355.20 / $355.20 / $497.28	Professional		$355.20	$355.20	$497.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $9,888.00 / $26,304.00	Facility		$2,310.00	$9,888.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.36 / $376.43 / $519.47	Professional		$319.36	$376.43	$519.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $373.90 / $504.77 / $785.19	Facility		$373.90	$504.77	$785.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $373.90 / $448.68 / $560.85	Professional		$373.90	$448.68	$560.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,379.37 / $3,379.37 / $3,379.37	Facility		$3,379.37	$3,379.37	$3,379.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.27 / $515.94 / $864.31	Professional		$403.27	$515.94	$864.31
United Facility/Professional Facility Modifier Low / Median / High Price $4,699.00 / $9,550.00 / $15,750.00	Facility		$4,699.00	$9,550.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $367.50 / $497.20 / $808.73	Professional		$367.50	$497.20	$808.73