Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,818.38 / $7,943.28	Facility		$660.69	$2,818.38	$7,943.28
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,344.23 / $2,344.23 / $3,890.45	Facility	50	$2,344.23	$2,344.23	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $1,659.59	Professional		$562.34	$831.76	$1,659.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $1,148.15	Professional		$616.60	$794.33	$1,148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,801.89 / $8,511.38	Facility		$2,290.87	$3,801.89	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $537.03 / $851.14	Professional		$371.54	$537.03	$851.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $831.76 / $1,148.15	Facility		$588.84	$831.76	$1,148.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $977.24	Professional		$616.60	$758.58	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,862.09	Facility		$1,122.02	$1,122.02	$1,862.09
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility	22	$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $112.20 / $112.20 / $112.20	Facility	AS	$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,047.13 / $3,090.30	Professional		$478.63	$1,047.13	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,754.23 / $6,309.57	Facility		$602.56	$2,754.23	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $1,202.26	Professional		$478.63	$645.65	$1,202.26