Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,288.25 / $5,495.41	Facility		$239.88	$1,288.25	$5,495.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility	50	$2,187.76	$2,187.76	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $275.42 / $575.44	Professional		$158.49	$275.42	$575.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $457.09 / $831.76 / $4,265.80	Professional	50	$457.09	$831.76	$4,265.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $257.04 / $489.78	Professional		$208.93	$257.04	$489.78
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $288.40 / $407.38 / $724.44	Professional	50	$288.40	$407.38	$724.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,398.83 / $4,365.16	Facility		$1,479.11	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $338.84	Professional		$138.04	$194.98	$338.84
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $295.12 / $501.19	Professional	50	$208.93	$295.12	$501.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $199.53 / $251.19	Facility		$144.54	$199.53	$251.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $263.03 / $338.84	Professional		$186.21	$263.03	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $1,659.59	Facility		$269.15	$269.15	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $338.84 / $1,445.44	Professional		$190.55	$338.84	$1,445.44
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 $524.81 / $1,445.44 / $5,248.07	Facility		$524.81	$1,445.44	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $269.15 / $436.52	Professional		$165.96	$269.15	$436.52