Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $524.81 / $1,778.28	Facility		$338.84	$524.81	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $724.44	Professional		$269.15	$426.58	$724.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,047.13 / $1,047.13 / $1,380.38	Professional	50	$1,047.13	$1,047.13	$1,380.38
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $239.88 / $446.68 / $676.08	Professional	54	$239.88	$446.68	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $371.54 / $691.83	Professional		$257.04	$371.54	$691.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $251.19 / $407.38	Professional		$208.93	$251.19	$407.38
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $309.03 / $380.19 / $602.56	Professional	50	$309.03	$380.19	$602.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $398.11 / $524.81	Facility		$309.03	$398.11	$524.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $398.11 / $501.19	Professional		$331.13	$398.11	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $562.34 / $562.34	Facility		$34.67	$562.34	$562.34
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $389.05 / $389.05 / $389.05	Facility	54	$389.05	$389.05	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $457.09 / $1,698.24	Professional		$275.42	$457.09	$1,698.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $204.17	Professional		$32.36	$33.11	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $575.44	Professional		$245.47	$331.13	$575.44