Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,513.56 / $5,495.41	Facility		$218.78	$1,513.56	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $407.38	Professional		$208.93	$275.42	$407.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $630.96 / $645.65 / $1,047.13	Professional	50	$630.96	$645.65	$1,047.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $234.42 / $380.19	Professional		$186.21	$234.42	$380.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $588.84	Professional		$229.09	$269.15	$588.84
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $346.74 / $407.38 / $870.96	Professional	50	$346.74	$407.38	$870.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $229.09 / $275.42	Facility		$186.21	$229.09	$275.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $251.19 / $316.23	Professional		$213.80	$251.19	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $338.84 / $354.81	Facility		$34.67	$338.84	$354.81
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $239.88 / $239.88 / $239.88	Facility	54	$239.88	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $389.05 / $2,089.30	Professional		$213.80	$389.05	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $234.42	Professional		$32.36	$33.11	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $954.99 / $3,388.44	Facility		$389.05	$954.99	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $295.12 / $457.09	Professional		$218.78	$295.12	$457.09