Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,630.27 / $8,128.31	Facility		$549.54	$2,630.27	$8,128.31
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,073.80 / $16,218.10 / $32,359.37	Facility	50	$4,073.80	$16,218.10	$32,359.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,122.02 / $3,548.13	Professional		$331.13	$1,122.02	$3,548.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $371.54 / $1,819.70 / $11,481.54	Professional	50	$371.54	$1,819.70	$11,481.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $371.54	Professional		$147.91	$199.53	$371.54
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $218.78 / $309.03 / $660.69	Professional	50	$218.78	$309.03	$660.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $6,606.93 / $14,125.38	Facility		$3,981.07	$6,606.93	$14,125.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,174.90 / $2,089.30	Professional		$323.59	$1,174.90	$2,089.30
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $489.78 / $1,737.80 / $3,090.30	Professional	50	$489.78	$1,737.80	$3,090.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $457.09 / $616.60	Facility		$323.59	$457.09	$616.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,862.09 / $2,454.71	Professional		$436.52	$1,862.09	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $616.60 / $616.60	Facility		$34.67	$616.60	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,949.84 / $9,120.11	Professional		$407.38	$1,949.84	$9,120.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,348.96	Professional		$32.36	$33.11	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $5,011.87 / $11,748.98	Facility		$977.24	$5,011.87	$11,748.98
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,659.59 / $3,162.28	Professional		$371.54	$1,659.59	$3,162.28