Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.17 / $1,178.28 / $3,740.00	Facility		$55.17	$1,178.28	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.17 / $1,042.08 / $1,658.23	Professional		$55.17	$1,042.08	$1,658.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $250.00 / $1,071.16	Professional		$250.00	$250.00	$1,071.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $8,584.00 / $11,253.00	Facility		$675.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.36 / $69.81 / $98.28	Professional		$52.36	$69.81	$98.28
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $78.54 / $104.73 / $147.41	Professional	50	$78.54	$104.73	$147.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.88 / $54.77 / $64.43	Facility		$40.88	$54.77	$64.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.30 / $56.96 / $1,499.62	Professional		$44.30	$56.96	$1,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.09 / $74.09 / $74.09	Facility		$74.09	$74.09	$74.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.41 / $1,003.82 / $2,537.56	Professional		$56.41	$1,003.82	$2,537.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $821.78	Professional		$32.34	$32.34	$821.78
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,149.09 / $1,479.46 / $2,582.67	Professional		$1,149.09	$1,479.46	$2,582.67