Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.86 / $1,085.83 / $5,634.00	Facility		$211.86	$1,085.83	$5,634.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,122.77 / $1,743.02 / $5,987.76	Facility	50	$1,122.77	$1,743.02	$5,987.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.31 / $403.00 / $984.75	Professional		$180.31	$403.00	$984.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $264.54 / $616.61 / $1,443.72	Professional	50	$264.54	$616.61	$1,443.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.01 / $164.01 / $176.36	Professional		$164.01	$164.01	$176.36
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $344.43 / $369.03 / $587.97	Professional	50	$344.43	$369.03	$587.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.00 / $5,230.00 / $8,240.00	Facility		$949.00	$5,230.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.31 / $254.45 / $367.38	Professional		$184.31	$254.45	$367.38
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $276.45 / $381.67 / $551.08	Professional	50	$276.45	$381.67	$551.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $176.36 / $236.10 / $358.92	Facility		$176.36	$236.10	$358.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $391.98 / $470.38 / $617.37	Professional		$391.98	$470.38	$617.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,239.56 / $1,239.56 / $1,469.38	Facility		$1,239.56	$1,239.56	$1,469.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.55 / $410.33 / $704.20	Professional		$225.55	$410.33	$704.20
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,032.00 / $10,413.00	Facility		$3,364.00	$6,032.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $354.31 / $470.38 / $843.77	Professional		$354.31	$470.38	$843.77