Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,000.00 / $3,890.45	Facility		$346.74	$1,000.00	$3,890.45
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,659.59 / $5,248.07 / $5,248.07	Facility	50	$1,659.59	$5,248.07	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $1,122.02	Professional		$309.03	$398.11	$1,122.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $724.44 / $933.25 / $933.25	Professional	50	$724.44	$933.25	$933.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $316.23 / $426.58	Professional		$239.88	$316.23	$426.58
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $575.44 / $575.44 / $575.44	Professional	50	$575.44	$575.44	$575.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,137.96 / $2,951.21	Facility		$1,148.15	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $316.23 / $1,445.44	Professional		$269.15	$316.23	$1,445.44
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $407.38 / $478.63 / $2,187.76	Professional	50	$407.38	$478.63	$2,187.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $338.84 / $407.38	Facility		$275.42	$338.84	$407.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $363.08 / $446.68	Professional		$302.00	$363.08	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $501.19 / $1,230.27	Facility		$34.67	$501.19	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $1,174.90 / $5,370.32	Professional		$316.23	$1,174.90	$5,370.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $512.86	Professional		$32.36	$33.11	$512.86
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 $309.03 / $891.25 / $1,230.27	Professional		$309.03	$891.25	$1,230.27