Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.49 / $553.16 / $6,591.75	Facility		$253.49	$553.16	$6,591.75
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $153.00 / $1,841.99 / $3,727.66	Facility	50	$153.00	$1,841.99	$3,727.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.49 / $286.92 / $468.95	Professional		$253.49	$286.92	$468.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $256.76 / $256.76 / $1,100.33	Professional	50	$256.76	$256.76	$1,100.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.72 / $152.72 / $305.45	Professional		$152.72	$152.72	$305.45
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $183.27 / $229.09 / $458.18	Professional	50	$183.27	$229.09	$458.18
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 $280.58 / $340.01 / $510.50	Professional		$280.58	$340.01	$510.50
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $420.88 / $510.01 / $765.75	Professional	50	$420.88	$510.01	$765.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $244.36 / $342.10 / $403.19	Facility		$244.36	$342.10	$403.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $244.36 / $317.67 / $403.19	Professional		$244.36	$317.67	$403.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.44 / $301.44 / $402.19	Facility		$301.44	$301.44	$402.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.07 / $433.97 / $714.96	Professional		$274.07	$433.97	$714.96
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 $252.74 / $429.92 / $533.21	Professional		$252.74	$429.92	$533.21