Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,187.76 / $8,128.31	Facility		$575.44	$2,187.76	$8,128.31
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Facility	50	$8,128.31	$8,128.31	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $616.60 / $2,187.76	Professional		$302.00	$616.60	$2,187.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $741.31 / $741.31 / $741.31	Professional	50	$741.31	$741.31	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $954.99 / $1,258.93	Professional		$239.88	$954.99	$1,258.93
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $537.03 / $537.03 / $537.03	Professional	50	$537.03	$537.03	$537.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $6,606.93 / $13,182.57	Facility		$3,801.89	$6,606.93	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,122.02 / $2,344.23	Professional		$309.03	$1,122.02	$2,344.23
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $457.09 / $1,698.24 / $3,311.31	Professional	50	$457.09	$1,698.24	$3,311.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $354.81 / $478.63	Facility		$239.88	$354.81	$478.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $891.25 / $1,288.25	Professional		$302.00	$891.25	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $3,311.31	Facility		$467.74	$467.74	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,949.84 / $12,589.25	Professional		$389.05	$1,949.84	$12,589.25
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 $354.81 / $933.25 / $2,951.21	Professional		$354.81	$933.25	$2,951.21