Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.76 / $2,808.33 / $8,958.87	Facility		$446.76	$2,808.33	$8,958.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,728.55 / $7,243.99 / $7,246.18	Facility	50	$4,728.55	$7,243.99	$7,246.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.14 / $446.77 / $1,111.31	Professional		$366.14	$446.77	$1,111.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $619.71 / $1,083.66 / $3,411.00	Professional	50	$619.71	$1,083.66	$3,411.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $250.54 / $407.72 / $601.29	Professional		$250.54	$407.72	$601.29
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $559.21 / $601.29 / $781.68	Professional	50	$559.21	$601.29	$781.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,266.00 / $5,126.00 / $8,240.00	Facility		$2,266.00	$5,126.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.10 / $466.35 / $649.60	Professional		$349.10	$466.35	$649.60
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $523.65 / $699.52 / $974.40	Professional	50	$523.65	$699.52	$974.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $400.86 / $521.12 / $797.22	Facility		$400.86	$521.12	$797.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $407.72 / $489.26 / $611.58	Professional		$407.72	$489.26	$611.58
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 $411.87 / $531.62 / $882.63	Professional		$411.87	$531.62	$882.63
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 $344.68 / $458.55 / $807.81	Professional		$344.68	$458.55	$807.81