Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $554.53 / $1,885.76 / $9,483.42	Facility		$554.53	$1,885.76	$9,483.42
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,030.00 / $6,253.79 / $6,693.88	Facility	50	$1,030.00	$6,253.79	$6,693.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.53 / $693.45 / $895.75	Professional		$554.53	$693.45	$895.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $963.56 / $998.16 / $2,637.75	Professional	50	$963.56	$998.16	$2,637.75
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $807.98 / $807.98 / $807.98	Professional	50	$807.98	$807.98	$807.98
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 $514.71 / $887.24 / $1,109.06	Professional		$514.71	$887.24	$1,109.06
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $772.06 / $1,330.87 / $1,663.59	Professional	50	$772.06	$1,330.87	$1,663.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $538.65 / $721.13 / $1,252.36	Facility		$538.65	$721.13	$1,252.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $664.81 / $831.01 / $1,196.66	Professional		$664.81	$831.01	$1,196.66
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 $549.15 / $747.05 / $1,286.21	Professional		$549.15	$747.05	$1,286.21
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 $598.86 / $807.12 / $1,541.15	Professional		$598.86	$807.12	$1,541.15