Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.94 / $1,030.00 / $14,063.00	Facility		$424.94	$1,030.00	$14,063.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $857.08 / $857.08 / $857.08	Facility	50	$857.08	$857.08	$857.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.94 / $571.33 / $696.55	Professional		$424.94	$571.33	$696.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $737.03 / $737.03 / $1,740.00	Professional	50	$737.03	$737.03	$1,740.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $413.19 / $413.19 / $413.19	Professional		$413.19	$413.19	$413.19
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 $424.14 / $634.84 / $775.60	Professional		$424.14	$634.84	$775.60
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $636.21 / $952.27 / $1,163.40	Professional	50	$636.21	$952.27	$1,163.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $413.19 / $553.16 / $960.66	Facility		$413.19	$553.16	$960.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $557.24 / $696.55 / $1,003.04	Professional		$557.24	$696.55	$1,003.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $560.00 / $753.83 / $1,375.01	Facility		$560.00	$753.83	$1,375.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.30 / $614.80 / $1,009.10	Professional		$451.30	$614.80	$1,009.10
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 $491.16 / $649.94 / $1,092.61	Professional		$491.16	$649.94	$1,092.61