Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.69 / $616.80 / $3,740.00	Facility		$310.69	$616.80	$3,740.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,671.15 / $1,671.15 / $5,286.00	Facility	50	$1,671.15	$1,671.15	$5,286.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.69 / $428.49 / $1,123.95	Professional		$310.69	$428.49	$1,123.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.59 / $303.54 / $379.43	Professional		$136.59	$303.54	$379.43
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $569.14 / $569.14 / $569.14	Professional	50	$569.14	$569.14	$569.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,010.00 / $2,045.00 / $2,978.00	Facility		$1,010.00	$2,045.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.73 / $356.72 / $1,095.18	Professional		$270.73	$356.72	$1,095.18
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $406.10 / $527.84 / $1,724.06	Professional	50	$406.10	$527.84	$1,724.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $273.18 / $300.50 / $409.02	Facility		$273.18	$300.50	$409.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $303.54 / $333.89 / $455.31	Professional		$303.54	$333.89	$455.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.78 / $502.65 / $786.66	Facility		$187.78	$502.65	$786.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.88 / $1,037.59 / $1,682.87	Professional		$292.88	$1,037.59	$1,682.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $691.57	Professional		$32.34	$32.34	$691.57
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 $328.00 / $889.42 / $1,240.35	Professional		$328.00	$889.42	$1,240.35