Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $812.83 / $3,890.45	Facility		$229.09	$812.83	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $416.87 / $812.83	Professional		$229.09	$416.87	$812.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $660.69 / $1,659.59 / $2,754.23	Professional	50	$660.69	$1,659.59	$2,754.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $229.09 / $363.08	Professional		$218.78	$229.09	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $10,715.19 / $11,220.18	Facility		$3,388.44	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $407.38 / $724.44	Professional		$354.81	$407.38	$724.44
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $512.86 / $602.56 / $1,071.52	Professional	50	$512.86	$602.56	$1,071.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $257.04 / $288.40	Facility		$190.55	$257.04	$288.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $257.04 / $309.03	Professional		$213.80	$257.04	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $354.81 / $537.03	Facility		$34.67	$354.81	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $602.56 / $2,511.89	Professional		$316.23	$602.56	$2,511.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $251.19	Professional		$32.36	$33.11	$251.19
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 $407.38 / $512.86 / $891.25	Professional		$407.38	$512.86	$891.25