Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $2,570.40 / $6,309.57	Facility		$489.78	$2,570.40	$6,309.57
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,890.45 / $5,370.32 / $6,606.93	Facility	50	$3,890.45	$5,370.32	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $524.81 / $1,380.38	Professional		$363.08	$524.81	$1,380.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $616.60 / $1,318.26 / $1,905.46	Professional	50	$616.60	$1,318.26	$1,905.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $457.09 / $741.31	Professional		$281.84	$457.09	$741.31
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $549.54 / $851.14 / $1,445.44	Professional	50	$549.54	$851.14	$1,445.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,235.94 / $9,332.54	Facility		$1,584.89	$3,235.94	$9,332.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $407.38 / $616.60	Professional		$338.84	$407.38	$616.60
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $512.86 / $616.60 / $933.25	Professional	50	$512.86	$616.60	$933.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $537.03 / $691.83	Facility		$416.87	$537.03	$691.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $645.65	Professional		$407.38	$512.86	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $1,659.59	Facility		$741.31	$741.31	$1,659.59
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	22	$891.25	$891.25	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $2,570.40	Professional		$446.68	$645.65	$2,570.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $295.12	Professional		$32.36	$33.11	$295.12
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 $354.81 / $501.19 / $776.25	Professional		$354.81	$501.19	$776.25