Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.44 / $692.41 / $8,229.00	Facility		$334.44	$692.41	$8,229.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,171.75 / $6,171.75 / $6,171.75	Facility	50	$6,171.75	$6,171.75	$6,171.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.61 / $541.62 / $1,068.78	Professional		$364.61	$541.62	$1,068.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $425.66 / $425.66 / $425.66	Professional		$425.66	$425.66	$425.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,104.00 / $5,280.00 / $12,101.00	Facility		$3,104.00	$5,280.00	$12,101.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.86 / $555.65 / $848.58	Professional		$396.86	$555.65	$848.58
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $595.29 / $833.47 / $1,272.86	Professional	50	$595.29	$833.47	$1,272.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $310.12 / $425.66 / $491.02	Facility		$310.12	$425.66	$491.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $333.89 / $440.86 / $878.14	Professional		$333.89	$440.86	$878.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $559.42 / $559.42 / $559.42	Facility		$559.42	$559.42	$559.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.42 / $762.10 / $1,531.02	Professional		$427.42	$762.10	$1,531.02
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 Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $548.11 / $809.89 / $1,356.78	Professional		$548.11	$809.89	$1,356.78