Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.21 / $428.88 / $8,229.00	Facility		$232.21	$428.88	$8,229.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $921.00 / $2,562.71 / $2,562.71	Facility	50	$921.00	$2,562.71	$2,562.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.21 / $365.73 / $483.01	Professional		$232.21	$365.73	$483.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $253.14 / $253.14 / $253.14	Professional	50	$253.14	$253.14	$253.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $140.13 / $140.13 / $140.13	Professional		$140.13	$140.13	$140.13
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 $240.98 / $292.02 / $477.98	Professional		$240.98	$292.02	$477.98
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $361.47 / $438.03 / $716.97	Professional	50	$361.47	$438.03	$716.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $229.22 / $313.91 / $362.12	Facility		$229.22	$313.91	$362.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $266.82 / $358.75 / $779.78	Professional		$266.82	$358.75	$779.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $342.59 / $412.56 / $412.56	Facility		$342.59	$412.56	$412.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.15 / $405.77 / $725.49	Professional		$252.15	$405.77	$725.49
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 $274.62 / $394.74 / $785.15	Professional		$274.62	$394.74	$785.15