Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,513.56 / $5,754.40	Facility		$323.59	$1,513.56	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $338.84 / $467.74	Professional		$218.78	$338.84	$467.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional	50	$4,466.84	$4,466.84	$4,466.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $190.55	Professional		$181.97	$181.97	$190.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,398.83 / $4,365.16	Facility		$1,479.11	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $269.15 / $407.38	Professional		$173.78	$269.15	$407.38
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $263.03 / $398.11 / $616.60	Professional	50	$263.03	$398.11	$616.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $251.19 / $302.00	Facility		$177.83	$251.19	$302.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $309.03	Professional		$169.82	$263.03	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $1,659.59	Facility		$338.84	$338.84	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $416.87 / $2,344.23	Professional		$229.09	$416.87	$2,344.23
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 $524.81 / $1,445.44 / $5,248.07	Facility		$524.81	$1,445.44	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $354.81 / $549.54	Professional		$218.78	$354.81	$549.54