Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.48 / $1,330.00 / $5,320.00	Facility		$392.48	$1,330.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.77 / $757.25 / $2,421.69	Professional		$304.77	$757.25	$2,421.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,332.66 / $2,332.66 / $6,015.33	Professional	50	$2,332.66	$2,332.66	$6,015.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.25 / $258.50 / $303.42	Professional		$129.25	$258.50	$303.42
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $227.57 / $227.57 / $890.31	Professional	50	$227.57	$227.57	$890.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.35 / $620.17 / $1,888.81	Professional		$232.35	$620.17	$1,888.81
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $348.53 / $930.27 / $2,798.43	Professional	50	$348.53	$930.27	$2,798.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $272.27 / $367.56 / $449.25	Facility		$272.27	$367.56	$449.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $367.56 / $1,349.87 / $1,813.20	Professional		$367.56	$1,349.87	$1,813.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.35 / $500.98 / $500.98	Facility		$468.35	$500.98	$500.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.34 / $1,254.35 / $3,258.06	Professional		$340.34	$1,254.35	$3,258.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,291.18	Professional		$32.34	$32.34	$1,291.18
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,481.00	Facility		$50.00	$668.00	$3,481.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,407.63 / $2,390.42 / $3,375.66	Professional		$1,407.63	$2,390.42	$3,375.66