Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,047.13 / $3,890.45	Facility		$165.96	$1,047.13	$3,890.45
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility	50	$6,918.31	$6,918.31	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $194.98 / $549.54	Professional		$102.33	$194.98	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $275.42	Professional		$77.62	$120.23	$275.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $2,951.21	Facility		$1,348.96	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $295.12 / $575.44	Professional		$104.71	$295.12	$575.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $138.04 / $186.21	Facility		$97.72	$138.04	$186.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $288.40 / $389.05	Professional		$120.23	$288.40	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $186.21 / $186.21	Facility		$34.67	$186.21	$186.21
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $147.91 / $147.91 / $147.91	Facility	52	$147.91	$147.91	$147.91
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $37.15 / $37.15 / $37.15	Facility	53	$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $389.05 / $2,691.53	Professional		$131.83	$389.05	$2,691.53
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 $389.05 / $954.99 / $3,388.44	Facility		$389.05	$954.99	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $245.47 / $891.25	Professional		$112.20	$245.47	$891.25