Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $501.19 / $3,311.31	Facility		$107.15	$501.19	$3,311.31
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $977.24 / $2,398.83 / $4,897.79	Facility	50	$977.24	$2,398.83	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $162.18 / $489.78	Professional		$83.18	$162.18	$489.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $123.03 / $281.84 / $1,023.29	Professional	50	$123.03	$281.84	$1,023.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $144.54 / $371.54	Professional		$83.18	$144.54	$371.54
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $218.78 / $302.00	Professional	50	$125.89	$218.78	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $2,951.21	Facility		$1,348.96	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $131.83	Professional		$63.10	$75.86	$131.83
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $95.50 / $114.82 / $199.53	Professional	50	$95.50	$114.82	$199.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $109.65 / $141.25	Facility		$85.11	$109.65	$141.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $186.21 / $229.09	Professional		$104.71	$186.21	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $154.88 / $154.88	Facility		$34.67	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $223.87 / $831.76	Professional		$107.15	$223.87	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $120.23	Professional		$32.36	$33.11	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,288.25 / $3,388.44	Facility		$389.05	$1,288.25	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $162.18 / $323.59	Professional		$83.18	$162.18	$323.59