Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $3,890.45 / $8,912.51	Facility		$489.78	$3,890.45	$8,912.51
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,677.35 / $7,244.36 / $7,244.36	Facility	50	$4,677.35	$7,244.36	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $575.44 / $1,380.38	Professional		$389.05	$575.44	$1,380.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $676.08 / $1,348.96 / $1,949.84	Professional	50	$676.08	$1,348.96	$1,949.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $416.87 / $602.56	Professional		$229.09	$416.87	$602.56
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $363.08 / $630.96 / $870.96	Professional	50	$363.08	$630.96	$870.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $8,317.64 / $10,471.29	Facility		$2,754.23	$8,317.64	$10,471.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $467.74 / $812.83	Professional		$371.54	$467.74	$812.83
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $562.34 / $691.83 / $1,230.27	Professional	50	$562.34	$691.83	$1,230.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $501.19 / $562.34	Facility		$398.11	$501.19	$562.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $524.81 / $575.44	Professional		$407.38	$524.81	$575.44
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 $398.11 / $537.03 / $870.96	Professional		$398.11	$537.03	$870.96
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 $346.74 / $457.09 / $776.25	Professional		$346.74	$457.09	$776.25