Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,202.26 / $8,511.38	Facility		$676.08	$1,202.26	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,290.87 / $7,079.46 / $14,791.08	Facility	50	$2,290.87	$7,079.46	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $660.69 / $1,023.29	Professional		$501.19	$660.69	$1,023.29
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $346.74 / $1,584.89 / $5,128.61	Professional	50	$346.74	$1,584.89	$5,128.61
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $295.12 / $302.00 / $707.95	Professional	50	$295.12	$302.00	$707.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,073.80 / $9,549.93	Facility		$2,454.71	$4,073.80	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $467.74 / $891.25	Professional		$398.11	$467.74	$891.25
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $602.56 / $707.95 / $1,348.96	Professional	50	$602.56	$707.95	$1,348.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $562.34 / $724.44	Facility		$457.09	$562.34	$724.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $758.58	Professional		$457.09	$630.96	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $831.76 / $2,511.89	Facility		$660.69	$831.76	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $758.58 / $3,981.07	Professional		$467.74	$758.58	$3,981.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $177.83	Professional		$32.36	$33.11	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,754.23 / $6,309.57	Facility		$602.56	$2,754.23	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $1,023.29	Professional		$446.68	$588.84	$1,023.29