Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.70 / $420.56 / $3,740.00	Facility		$181.70	$420.56	$3,740.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $633.04 / $4,582.96 / $5,499.56	Facility	50	$633.04	$4,582.96	$5,499.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.83 / $360.05 / $643.98	Professional		$175.83	$360.05	$643.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $316.39 / $567.29 / $1,782.11	Professional	50	$316.39	$567.29	$1,782.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $248.12 / $248.12 / $248.12	Professional		$248.12	$248.12	$248.12
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $372.18 / $372.18 / $573.50	Professional	50	$372.18	$372.18	$573.50
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 $183.80 / $216.24 / $303.52	Professional		$183.80	$216.24	$303.52
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $275.70 / $324.36 / $455.30	Professional	50	$275.70	$324.36	$455.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.23 / $239.26 / $292.80	Facility		$177.23	$239.26	$292.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $230.40 / $454.97 / $588.79	Professional		$230.40	$454.97	$588.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.10 / $326.10 / $326.10	Facility		$326.10	$326.10	$326.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.11 / $456.64 / $848.52	Professional		$252.11	$456.64	$848.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $144.53 / $420.56	Professional		$32.34	$144.53	$420.56
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 $394.26 / $566.70 / $816.64	Professional		$394.26	$566.70	$816.64