Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $724.44 / $5,495.41	Facility		$239.88	$724.44	$5,495.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $912.01 / $3,890.45 / $6,918.31	Facility	50	$912.01	$3,890.45	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $309.03 / $575.44	Professional		$173.78	$309.03	$575.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $47.86 / $288.40 / $3,388.44	Professional	50	$47.86	$288.40	$3,388.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $100.00 / $151.36 / $263.03	Professional	50	$100.00	$151.36	$263.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,235.94 / $23,442.29	Facility		$1,584.89	$3,235.94	$23,442.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $363.08 / $549.54	Professional		$302.00	$363.08	$549.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $446.68 / $549.54 / $812.83	Professional	50	$446.68	$549.54	$812.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $223.87 / $309.03	Facility		$162.18	$223.87	$309.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $380.19	Professional		$199.53	$281.84	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $1,659.59	Facility		$302.00	$302.00	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $489.78 / $1,862.09	Professional		$218.78	$489.78	$1,862.09
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 $177.83 / $371.54 / $562.34	Professional		$177.83	$371.54	$562.34