Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.25 / $2,607.77 / $9,281.15	Facility		$449.25	$2,607.77	$9,281.15
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,837.53 / $1,837.53 / $1,837.53	Facility	50	$1,837.53	$1,837.53	$1,837.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.08 / $420.92 / $712.87	Professional		$391.08	$420.92	$712.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $255.26 / $281.81 / $530.92	Professional		$255.26	$281.81	$530.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.33 / $371.21 / $596.51	Professional		$306.33	$371.21	$596.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $408.41 / $571.77 / $673.88	Facility		$408.41	$571.77	$673.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $408.41 / $530.92 / $673.88	Professional		$408.41	$530.92	$673.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $458.50 / $501.23 / $501.23	Facility		$458.50	$501.23	$501.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.59 / $558.57 / $856.71	Professional		$411.59	$558.57	$856.71
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 $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $366.67 / $517.91 / $845.52	Professional		$366.67	$517.91	$845.52