Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.00 / $787.00 / $7,909.08	Facility		$289.00	$787.00	$7,909.08
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $12,799.46 / $12,799.46 / $12,799.46	Facility	50	$12,799.46	$12,799.46	$12,799.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.36 / $571.28 / $1,125.65	Professional		$270.36	$571.28	$1,125.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $428.78 / $994.19 / $3,171.38	Professional	50	$428.78	$994.19	$3,171.38
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $1,322.66 / $1,322.66 / $1,322.66	Professional	50	$1,322.66	$1,322.66	$1,322.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.79 / $393.77 / $540.41	Professional		$316.79	$393.77	$540.41
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $475.19 / $590.66 / $810.62	Professional	50	$475.19	$590.66	$810.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $273.55 / $392.49 / $490.61	Facility		$273.55	$392.49	$490.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $306.41 / $404.92 / $1,077.14	Professional		$306.41	$404.92	$1,077.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.84 / $515.84 / $1,155.45	Facility		$515.84	$515.84	$1,155.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.53 / $926.80 / $1,723.53	Professional		$386.53	$926.80	$1,723.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $230.56 / $692.82	Professional		$32.34	$230.56	$692.82
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $20,161.00	Facility		$973.00	$4,639.00	$20,161.00
United Facility/Professional Professional Modifier Low / Median / High Price $697.27 / $1,179.78 / $1,643.54	Professional		$697.27	$1,179.78	$1,643.54