Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.21 / $2,200.00 / $7,515.55	Facility		$173.21	$2,200.00	$7,515.55
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,820.00 / $1,820.00 / $1,820.00	Facility	50	$1,820.00	$1,820.00	$1,820.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $313.44 / $632.73	Professional		$132.88	$313.44	$632.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $176.49 / $183.55 / $631.77	Professional		$176.49	$183.55	$631.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,271.00 / $2,292.00 / $4,229.00	Facility		$1,271.00	$2,292.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.66 / $427.02 / $724.70	Professional		$130.66	$427.02	$724.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.19 / $197.67 / $232.96	Facility		$141.19	$197.67	$232.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $183.55 / $484.36 / $610.71	Professional		$183.55	$484.36	$610.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.79 / $259.79 / $259.79	Facility		$259.79	$259.79	$259.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.58 / $608.22 / $1,155.80	Professional		$180.58	$608.22	$1,155.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,913.00 / $5,301.00	Facility		$523.00	$1,913.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $540.71 / $820.85 / $1,137.92	Professional		$540.71	$820.85	$1,137.92