Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.97 / $377.27 / $5,320.00	Facility		$151.97	$377.27	$5,320.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,200.00 / $2,200.00 / $2,200.00	Facility	50	$2,200.00	$2,200.00	$2,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $239.54 / $377.27	Professional		$151.97	$239.54	$377.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $361.05 / $361.05 / $456.00	Professional	50	$361.05	$361.05	$456.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.76 / $295.76 / $295.76	Professional		$295.76	$295.76	$295.76
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $443.64 / $443.64 / $443.64	Professional	50	$443.64	$443.64	$443.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.72 / $196.20 / $333.82	Professional		$135.72	$196.20	$333.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $203.59 / $294.30 / $500.73	Professional	50	$203.59	$294.30	$500.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.82 / $206.95 / $243.90	Facility		$147.82	$206.95	$243.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $192.17 / $272.10 / $336.20	Professional		$192.17	$272.10	$336.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.48 / $271.99 / $271.99	Facility		$214.48	$271.99	$271.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.38 / $306.50 / $606.00	Professional		$186.38	$306.50	$606.00
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 $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $247.20 / $381.60 / $473.41	Professional		$247.20	$381.60	$473.41