Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $645.65 / $3,801.89	Facility		$229.09	$645.65	$3,801.89
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $602.56 / $2,818.38 / $5,495.41	Facility	50	$602.56	$2,818.38	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $407.38 / $1,230.27	Professional		$186.21	$407.38	$1,230.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $263.03 / $602.56 / $2,754.23	Professional	50	$263.03	$602.56	$2,754.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $354.81 / $891.25	Professional		$162.18	$354.81	$891.25
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $275.42 / $537.03 / $645.65	Professional	50	$275.42	$537.03	$645.65
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 $181.97 / $213.80 / $316.23	Professional		$181.97	$213.80	$316.23
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $275.42 / $323.59 / $478.63	Professional	50	$275.42	$323.59	$478.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $229.09 / $302.00	Facility		$181.97	$229.09	$302.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $457.09 / $549.54	Professional		$223.87	$457.09	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $323.59 / $323.59	Facility		$34.67	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $562.34 / $2,041.74	Professional		$251.19	$562.34	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $346.74	Professional		$32.36	$33.11	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,754.23 / $6,309.57	Facility		$602.56	$2,754.23	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $398.11 / $707.95	Professional		$229.09	$398.11	$707.95