Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $470.76 / $1,386.00 / $14,063.00	Facility		$470.76	$1,386.00	$14,063.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,344.24 / $7,344.24 / $7,344.24	Facility	50	$7,344.24	$7,344.24	$7,344.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.76 / $608.45 / $724.29	Professional		$470.76	$608.45	$724.29
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $343.08 / $343.08 / $343.08	Professional	50	$343.08	$343.08	$343.08
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $343.07 / $343.07 / $343.07	Professional	50	$343.07	$343.07	$343.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,807.00 / $6,653.00 / $11,752.00	Facility		$2,807.00	$6,653.00	$11,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $455.58 / $609.20 / $820.71	Professional		$455.58	$609.20	$820.71
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $683.37 / $913.80 / $1,231.07	Professional	50	$683.37	$913.80	$1,231.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.43 / $612.39 / $1,063.53	Facility		$457.43	$612.39	$1,063.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $585.37 / $731.71 / $1,053.66	Professional		$585.37	$731.71	$1,053.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $560.00 / $798.00 / $1,375.01	Facility		$560.00	$798.00	$1,375.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.84 / $645.15 / $1,046.02	Professional		$469.84	$645.15	$1,046.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,399.00 / $5,995.00 / $10,413.00	Facility		$1,399.00	$5,995.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $548.16 / $704.47 / $1,281.64	Professional		$548.16	$704.47	$1,281.64