Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.13 / $904.75 / $5,634.00	Facility		$283.13	$904.75	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.13 / $375.90 / $1,122.03	Professional		$283.13	$375.90	$1,122.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $274.54 / $306.45 / $459.68	Professional		$274.54	$306.45	$459.68
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $418.84 / $418.84 / $418.84	Professional	50	$418.84	$418.84	$418.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.00 / $3,896.00 / $8,230.00	Facility		$949.00	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.51 / $590.78 / $849.65	Professional		$318.51	$590.78	$849.65
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $477.76 / $886.17 / $1,274.47	Professional	50	$477.76	$886.17	$1,274.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $274.54 / $356.90 / $535.35	Facility		$274.54	$356.90	$535.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $306.45 / $349.07 / $459.68	Professional		$306.45	$349.07	$459.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.28 / $356.73 / $502.65	Facility		$213.28	$356.73	$502.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.71 / $806.08 / $1,219.00	Professional		$347.71	$806.08	$1,219.00
United Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $2,811.00 / $4,271.00	Facility		$462.00	$2,811.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $314.08 / $513.02 / $1,186.00	Professional		$314.08	$513.02	$1,186.00