Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.60 / $2,747.00 / $8,229.00	Facility		$398.60	$2,747.00	$8,229.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,905.17 / $5,083.02 / $5,717.58	Facility	50	$3,905.17	$5,083.02	$5,717.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.06 / $418.89 / $739.18	Professional		$356.06	$418.89	$739.18
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $206.57 / $619.71 / $763.13	Professional	50	$206.57	$619.71	$763.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $372.80 / $504.51 / $565.04	Professional		$372.80	$504.51	$565.04
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $601.29 / $601.29 / $601.29	Professional	50	$601.29	$601.29	$601.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,421.00 / $2,824.00 / $7,358.00	Facility		$1,421.00	$2,824.00	$7,358.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.82 / $403.61 / $561.66	Professional		$326.82	$403.61	$561.66
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $490.23 / $605.41 / $842.50	Professional	50	$490.23	$605.41	$842.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $403.61 / $544.87 / $665.96	Facility		$403.61	$544.87	$665.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $410.13 / $533.16 / $656.21	Professional		$410.13	$533.16	$656.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.37 / $742.64 / $742.64	Facility		$581.37	$742.64	$742.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $445.42 / $582.61 / $886.00	Professional		$445.42	$582.61	$886.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $533.16	Professional		$32.34	$32.34	$533.16
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 $395.67 / $531.79 / $772.62	Professional		$395.67	$531.79	$772.62