Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.52 / $277.89 / $3,594.48	Facility		$103.52	$277.89	$3,594.48
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,608.88 / $4,493.10 / $5,284.67	Facility	50	$1,608.88	$4,493.10	$5,284.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.24 / $167.17 / $305.92	Professional		$93.24	$167.17	$305.92
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $162.99 / $270.30 / $2,482.80	Professional	50	$162.99	$270.30	$2,482.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.88 / $158.88 / $158.88	Professional		$158.88	$158.88	$158.88
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $203.87 / $203.87 / $256.26	Professional	50	$203.87	$203.87	$256.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.77 / $90.61 / $144.13	Professional		$74.77	$90.61	$144.13
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $112.16 / $135.91 / $216.21	Professional	50	$112.16	$135.91	$216.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.08 / $131.06 / $160.38	Facility		$97.08	$131.06	$160.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $126.20 / $205.01 / $263.08	Professional		$126.20	$205.01	$263.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.63 / $178.63 / $178.63	Facility		$178.63	$178.63	$178.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.20 / $213.91 / $360.77	Professional		$126.20	$213.91	$360.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $69.37 / $187.92	Professional		$32.34	$69.37	$187.92
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $184.08 / $293.82 / $375.51	Professional		$184.08	$293.82	$375.51