Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,380.38 / $4,897.79	Facility		$323.59	$1,380.38	$4,897.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,778.28 / $6,456.54 / $7,079.46	Facility	50	$1,778.28	$6,456.54	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $371.54 / $676.08	Professional		$263.03	$371.54	$676.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $562.34 / $758.58 / $1,047.13	Professional	50	$562.34	$758.58	$1,047.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $288.40 / $323.59	Professional		$169.82	$288.40	$323.59
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $457.09 / $457.09 / $457.09	Professional	50	$457.09	$457.09	$457.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $8,317.64 / $10,471.29	Facility		$3,467.37	$8,317.64	$10,471.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $426.58 / $645.65	Professional		$257.04	$426.58	$645.65
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $389.05 / $645.65 / $954.99	Professional	50	$389.05	$645.65	$954.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $288.40 / $323.59	Facility		$275.42	$288.40	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $426.58 / $776.25	Professional		$295.12	$426.58	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $6,025.60 / $10,715.19	Facility		$1,230.27	$6,025.60	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $602.56	Professional		$275.42	$371.54	$602.56