Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $407.38 / $3,890.45	Facility		$81.28	$407.38	$3,890.45
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $501.19 / $2,238.72 / $3,019.95	Facility	50	$501.19	$2,238.72	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $190.55 / $691.83	Professional		$61.66	$190.55	$691.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $151.36 / $213.80 / $724.44	Professional	50	$151.36	$213.80	$724.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $147.91 / $380.19	Professional		$70.79	$147.91	$380.19
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $104.71 / $309.03 / $524.81	Professional	50	$104.71	$309.03	$524.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,137.96 / $2,884.03	Facility		$1,148.15	$2,137.96	$2,884.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $66.07 / $91.20	Professional		$56.23	$66.07	$91.20
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $85.11 / $100.00 / $134.90	Professional	50	$85.11	$100.00	$134.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $81.28 / $109.65	Facility		$63.10	$81.28	$109.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $257.04 / $316.23	Professional		$77.62	$257.04	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $114.82 / $114.82	Facility		$34.67	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $257.04 / $1,174.90	Professional		$81.28	$257.04	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $162.18	Professional		$32.36	$33.11	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $147.91 / $331.13	Professional		$70.79	$147.91	$331.13