Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $398.11 / $3,630.78	Facility		$125.89	$398.11	$3,630.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $933.25 / $3,548.13 / $5,248.07	Facility	50	$933.25	$3,548.13	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $177.83 / $549.54	Professional		$97.72	$177.83	$549.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $316.23 / $1,380.38	Professional	50	$147.91	$316.23	$1,380.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $162.18 / $295.12	Professional		$102.33	$162.18	$295.12
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $144.54 / $257.04 / $407.38	Professional	50	$144.54	$257.04	$407.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $2,951.21	Facility		$1,258.93	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $144.54	Professional		$74.13	$91.20	$144.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $112.20 / $134.90 / $218.78	Professional	50	$112.20	$134.90	$218.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $125.89 / $165.96	Facility		$100.00	$125.89	$165.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $204.17 / $245.47	Professional		$120.23	$204.17	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $177.83 / $177.83	Facility		$34.67	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $239.88 / $891.25	Professional		$125.89	$239.88	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $134.90	Professional		$32.36	$33.11	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $954.99 / $3,388.44	Facility		$389.05	$954.99	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $190.55 / $363.08	Professional		$104.71	$190.55	$363.08