Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.35 / $2,635.36 / $7,986.94	Facility		$553.35	$2,635.36	$7,986.94
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,354.00 / $2,354.00 / $2,354.00	Facility	50	$2,354.00	$2,354.00	$2,354.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.35 / $610.41 / $1,057.91	Professional		$553.35	$610.41	$1,057.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $763.58 / $824.67 / $855.22	Professional		$763.58	$824.67	$855.22
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 $348.18 / $515.53 / $843.73	Professional		$348.18	$515.53	$843.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $610.87 / $855.22 / $1,007.94	Facility		$610.87	$855.22	$1,007.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $610.87 / $794.13 / $1,007.94	Professional		$610.87	$794.13	$1,007.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $751.63 / $751.63 / $751.63	Facility		$751.63	$751.63	$751.63
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $74.30 / $74.30 / $74.30	Facility	AS	$74.30	$74.30	$74.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $442.47 / $773.11 / $1,237.81	Professional		$442.47	$773.11	$1,237.81
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 $489.45 / $639.72 / $1,175.06	Professional		$489.45	$639.72	$1,175.06