Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.57 / $7,569.08 / $13,336.66	Facility		$438.57	$7,569.08	$13,336.66
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,251.00 / $9,128.46 / $15,893.89	Facility	50	$3,251.00	$9,128.46	$15,893.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.69 / $463.24 / $982.75	Professional		$383.69	$463.24	$982.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $502.72 / $533.36 / $563.04	Professional		$502.72	$533.36	$563.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,174.00 / $4,743.00 / $17,470.00	Facility		$2,174.00	$4,743.00	$17,470.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.05 / $408.44 / $587.49	Professional		$337.05	$408.44	$587.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $402.18 / $538.40 / $643.49	Facility		$402.18	$538.40	$643.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $402.18 / $522.83 / $662.64	Professional		$402.18	$522.83	$662.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.18 / $493.18 / $493.18	Facility		$493.18	$493.18	$493.18
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $48.91 / $48.91 / $48.91	Facility	AS	$48.91	$48.91	$48.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.88 / $540.54 / $813.37	Professional		$416.88	$540.54	$813.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $442.40	Professional		$32.34	$32.34	$442.40
United Facility/Professional Facility Modifier Low / Median / High Price $847.00 / $1,475.00 / $12,296.00	Facility		$847.00	$1,475.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $387.95 / $517.23 / $831.34	Professional		$387.95	$517.23	$831.34