Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $2,818.38 / $9,772.37	Facility		$316.23	$2,818.38	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $2,818.38 / $4,466.84	Professional		$245.47	$2,818.38	$4,466.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,754.23	Professional		$2,630.27	$2,630.27	$2,754.23
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $3,548.13 / $4,168.69 / $5,623.41	Professional	50	$3,548.13	$4,168.69	$5,623.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $10,715.19 / $11,220.18	Facility		$6,760.83	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $2,630.27 / $3,801.89	Professional		$229.09	$2,630.27	$3,801.89
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $338.84 / $3,890.45 / $5,623.41	Professional	50	$338.84	$3,890.45	$5,623.41
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $31.62 / $363.08 / $524.81	Professional	AS	$31.62	$363.08	$524.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $323.59 / $380.19	Facility		$229.09	$323.59	$380.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $331.13 / $389.05	Professional		$213.80	$331.13	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $436.52 / $436.52	Facility		$34.67	$436.52	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $4,168.69 / $14,125.38	Professional		$288.40	$4,168.69	$14,125.38
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 $741.31 / $3,890.45 / $8,511.38	Facility		$741.31	$3,890.45	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $2,398.83 / $5,888.44	Professional		$245.47	$2,398.83	$5,888.44