Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,230.27 / $9,549.93	Facility		$660.69	$1,230.27	$9,549.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,309.57 / $6,456.54 / $7,585.78	Facility	50	$6,309.57	$6,456.54	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $1,380.38	Professional		$575.44	$758.58	$1,380.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $954.99 / $1,096.48 / $1,445.44	Professional	50	$954.99	$1,096.48	$1,445.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $478.63 / $831.76	Professional		$416.87	$478.63	$831.76
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $794.33 / $794.33 / $794.33	Professional	50	$794.33	$794.33	$794.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $8,317.64 / $10,964.78	Facility		$3,981.07	$8,317.64	$10,964.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $891.25 / $1,202.26	Professional		$512.86	$891.25	$1,202.26
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $776.25 / $1,318.26 / $1,819.70	Professional	50	$776.25	$1,318.26	$1,819.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $758.58 / $1,288.25	Facility		$549.54	$758.58	$1,288.25
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility	22	$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $1,230.27	Professional		$537.03	$724.44	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $5,623.41 / $10,715.19	Facility		$1,862.09	$5,623.41	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $724.44 / $1,230.27	Professional		$524.81	$724.44	$1,230.27