Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.85 / $614.04 / $3,666.37	Facility		$182.85	$614.04	$3,666.37
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,481.60 / $4,106.77 / $19,057.59	Facility	50	$1,481.60	$4,106.77	$19,057.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $353.09 / $655.25	Professional		$180.00	$353.09	$655.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $345.12 / $551.65 / $4,966.80	Professional	50	$345.12	$551.65	$4,966.80
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $568.83 / $568.83 / $568.83	Professional	50	$568.83	$568.83	$568.83
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 $187.51 / $220.61 / $305.91	Professional		$187.51	$220.61	$305.91
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $281.27 / $330.91 / $458.87	Professional	50	$281.27	$330.91	$458.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.24 / $239.27 / $292.82	Facility		$177.24	$239.27	$292.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $230.41 / $451.27 / $584.00	Professional		$230.41	$451.27	$584.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.12 / $326.12 / $326.12	Facility		$326.12	$326.12	$326.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.08 / $465.84 / $863.33	Professional		$253.08	$465.84	$863.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $147.46 / $417.14	Professional		$32.34	$147.46	$417.14
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $405.41 / $573.42 / $832.01	Professional		$405.41	$573.42	$832.01