Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $4,897.79 / $14,125.38	Facility		$616.60	$4,897.79	$14,125.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Facility	50	$6,760.83	$6,760.83	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $1,023.29	Professional		$398.11	$537.03	$1,023.29
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $616.60 / $776.25 / $1,862.09	Professional	50	$616.60	$776.25	$1,862.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
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 $389.05 / $512.86 / $794.33	Professional		$389.05	$512.86	$794.33
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $575.44 / $776.25 / $1,202.26	Professional	50	$575.44	$776.25	$1,202.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $707.95 / $1,258.93	Facility		$562.34	$707.95	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $524.81 / $851.14	Professional		$407.38	$524.81	$851.14
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 $389.05 / $501.19 / $851.14	Professional		$389.05	$501.19	$851.14