Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $493.91 / $493.91 / $2,747.51	Facility		$493.91	$493.91	$2,747.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $788.06 / $788.06 / $6,456.79	Professional		$788.06	$788.06	$6,456.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $224.51 / $224.51 / $224.51	Professional		$224.51	$224.51	$224.51
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $489.75 / $489.75 / $489.75	Professional	50	$489.75	$489.75	$489.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $451.73 / $3,367.29 / $5,597.84	Professional		$451.73	$3,367.29	$5,597.84
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $677.59 / $5,050.93 / $8,016.57	Professional	50	$677.59	$5,050.93	$8,016.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $460.24 / $628.61 / $725.15	Facility		$460.24	$628.61	$725.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $492.46 / $718.42 / $3,846.52	Professional		$492.46	$718.42	$3,846.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $744.38 / $744.38 / $744.38	Professional		$744.38	$744.38	$744.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $3,811.48 / $6,401.58 / $8,270.56	Professional		$3,811.48	$6,401.58	$8,270.56