Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,380.38 / $14,125.38	Facility		$645.65	$1,380.38	$14,125.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $851.14 / $851.14 / $851.14	Facility	50	$851.14	$851.14	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $1,071.52	Professional		$436.52	$645.65	$1,071.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $630.96 / $741.31 / $1,737.80	Professional	50	$630.96	$741.31	$1,737.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
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 $426.58 / $660.69 / $912.01	Professional		$426.58	$660.69	$912.01
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $630.96 / $977.24 / $1,380.38	Professional	50	$630.96	$977.24	$1,380.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $758.58 / $1,380.38	Facility		$562.34	$758.58	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $1,000.00	Professional		$457.09	$616.60	$1,000.00
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 $436.52 / $588.84 / $977.24	Professional		$436.52	$588.84	$977.24