Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $532.66 / $2,747.00 / $9,353.43	Facility		$532.66	$2,747.00	$9,353.43
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,527.58 / $5,527.58 / $5,527.58	Facility	50	$5,527.58	$5,527.58	$5,527.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.97 / $559.21 / $1,939.00	Professional		$465.97	$559.21	$1,939.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $486.17 / $632.02 / $670.92	Professional		$486.17	$632.02	$670.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,174.00 / $4,743.00 / $12,254.00	Facility		$2,174.00	$4,743.00	$12,254.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.43 / $485.23 / $699.39	Professional		$400.43	$485.23	$699.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $486.17 / $650.62 / $780.09	Facility		$486.17	$650.62	$780.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $486.17 / $632.02 / $800.77	Professional		$486.17	$632.02	$800.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $596.21 / $596.21 / $596.21	Facility		$596.21	$596.21	$596.21
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $58.98 / $58.98 / $58.98	Facility	AS	$58.98	$58.98	$58.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $503.73 / $658.67 / $1,033.49	Professional		$503.73	$658.67	$1,033.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $534.79	Professional		$32.34	$32.34	$534.79
United Facility/Professional Facility Modifier Low / Median / High Price $631.00 / $1,121.00 / $8,582.00	Facility		$631.00	$1,121.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $467.16 / $618.79 / $1,009.06	Professional		$467.16	$618.79	$1,009.06