Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $954.99 / $5,623.41	Facility		$218.78	$954.99	$5,623.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,230.27 / $3,388.44 / $6,025.60	Facility	50	$1,230.27	$3,388.44	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $426.58 / $1,445.44	Professional		$186.21	$426.58	$1,445.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $309.03 / $630.96 / $2,454.71	Professional	50	$309.03	$630.96	$2,454.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $263.03 / $416.87	Professional		$162.18	$263.03	$416.87
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $245.47 / $346.74 / $645.65	Professional	50	$245.47	$346.74	$645.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $8,317.64 / $10,471.29	Facility		$2,187.76	$8,317.64	$10,471.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $269.15 / $426.58	Professional		$204.17	$269.15	$426.58
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $309.03 / $407.38 / $630.96	Professional	50	$309.03	$407.38	$630.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $218.78 / $257.04	Facility		$177.83	$218.78	$257.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $562.34	Professional		$389.05	$501.19	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,479.11	Facility		$1,230.27	$1,230.27	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $416.87 / $707.95	Professional		$218.78	$416.87	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $6,025.60 / $10,715.19	Facility		$1,621.81	$6,025.60	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $371.54 / $691.83	Professional		$199.53	$371.54	$691.83