Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.54 / $1,192.00 / $8,990.67	Facility		$402.54	$1,192.00	$8,990.67
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,616.53 / $9,155.89 / $9,155.89	Facility	50	$6,616.53	$9,155.89	$9,155.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.75 / $447.24 / $733.17	Professional		$348.75	$447.24	$733.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $387.23 / $503.40 / $542.12	Professional		$387.23	$503.40	$542.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.20 / $419.00 / $632.60	Professional		$318.20	$419.00	$632.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.81 / $542.12 / $625.39	Facility		$398.81	$542.12	$625.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $454.45 / $545.99 / $928.55	Professional		$454.45	$545.99	$928.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $465.48 / $712.50 / $712.50	Facility		$465.48	$712.50	$712.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.59 / $558.91 / $916.37	Professional		$395.59	$558.91	$916.37
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 $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $396.49 / $542.37 / $955.07	Professional		$396.49	$542.37	$955.07