Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,090.30 / $10,000.00	Facility		$758.58	$3,090.30	$10,000.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility	50	$5,495.41	$5,495.41	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $2,041.74	Professional		$478.63	$776.25	$2,041.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $512.86 / $1,122.02	Professional		$416.87	$512.86	$1,122.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,754.40 / $16,218.10	Facility		$2,754.23	$5,754.40	$16,218.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $489.78 / $691.83	Professional		$416.87	$489.78	$691.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $602.56 / $776.25	Facility		$467.74	$602.56	$776.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $588.84 / $776.25	Professional		$489.78	$588.84	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $2,290.87	Facility		$891.25	$891.25	$2,290.87
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility	22	$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $89.13 / $89.13 / $89.13	Facility	AS	$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $724.44 / $4,168.69	Professional		$501.19	$724.44	$4,168.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $524.81	Professional		$32.36	$33.11	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,862.09 / $8,511.38	Facility		$630.96	$1,862.09	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $954.99	Professional		$457.09	$602.56	$954.99