Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.34 / $428.58 / $3,740.00	Facility		$240.34	$428.58	$3,740.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,361.34 / $1,361.34 / $1,361.34	Facility	50	$1,361.34	$1,361.34	$1,361.34
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $173.66 / $216.25 / $317.29	Facility	54	$173.66	$216.25	$317.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.20 / $290.12 / $422.26	Professional		$234.20	$290.12	$422.26
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $175.57 / $220.89 / $281.25	Professional	54	$175.57	$220.89	$281.25
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $35.11 / $44.18 / $56.25	Professional	55	$35.11	$44.18	$56.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $212.78 / $212.78 / $212.78	Professional		$212.78	$212.78	$212.78
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $254.16 / $254.16 / $254.16	Professional	50	$254.16	$254.16	$254.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $8,584.00 / $11,253.00	Facility		$432.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.23 / $276.48 / $419.50	Professional		$220.23	$276.48	$419.50
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $330.35 / $414.42 / $629.25	Professional	50	$330.35	$414.42	$629.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $210.50 / $241.56 / $315.16	Facility		$210.50	$241.56	$315.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $205.76 / $296.81 / $473.63	Professional		$205.76	$296.81	$473.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.58 / $321.82 / $387.32	Facility		$196.58	$321.82	$387.32
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $271.12 / $271.12 / $271.12	Facility	54	$271.12	$271.12	$271.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.11 / $408.21 / $1,089.80	Professional		$228.11	$408.21	$1,089.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $194.13	Professional		$32.34	$32.34	$194.13
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $282.08 / $389.41 / $576.07	Professional		$282.08	$389.41	$576.07