Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.26 / $896.00 / $8,229.00	Facility		$309.26	$896.00	$8,229.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,727.66 / $3,727.66 / $4,229.35	Facility	50	$3,727.66	$3,727.66	$4,229.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.26 / $318.68 / $485.32	Professional		$309.26	$318.68	$485.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.17 / $186.17 / $186.17	Professional		$186.17	$186.17	$186.17
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $223.40 / $223.40 / $223.40	Professional	50	$223.40	$223.40	$223.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,334.00 / $11,433.00	Facility		$2,320.00	$4,334.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.79 / $429.92 / $651.33	Professional		$354.79	$429.92	$651.33
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $532.17 / $644.88 / $976.99	Professional	50	$532.17	$644.88	$976.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $304.45 / $417.02 / $481.06	Facility		$304.45	$417.02	$481.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $342.55 / $417.02 / $595.74	Professional		$342.55	$417.02	$595.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $366.80 / $366.80 / $511.76	Facility		$366.80	$366.80	$511.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.89 / $547.71 / $1,083.11	Professional		$334.89	$547.71	$1,083.11
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 $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $326.31 / $531.64 / $672.59	Professional		$326.31	$531.64	$672.59