Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,548.82 / $8,511.38	Facility		$758.58	$1,548.82	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,202.26	Professional		$588.84	$794.33	$1,202.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $851.14 / $954.99 / $6,309.57	Professional	50	$851.14	$954.99	$6,309.57
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $776.25 / $794.33 / $1,949.84	Professional	50	$776.25	$794.33	$1,949.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,073.80 / $9,549.93	Facility		$2,344.23	$4,073.80	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $524.81 / $1,047.13	Professional		$446.68	$524.81	$1,047.13
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $676.08 / $794.33 / $1,548.82	Professional	50	$676.08	$794.33	$1,548.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $660.69 / $851.14	Facility		$537.03	$660.69	$851.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $891.25	Professional		$537.03	$741.31	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $977.24 / $2,511.89	Facility		$758.58	$977.24	$2,511.89
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility	22	$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $870.96 / $4,786.30	Professional		$549.54	$870.96	$4,786.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $295.12	Professional		$32.36	$33.11	$295.12
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 $501.19 / $676.08 / $1,202.26	Professional		$501.19	$676.08	$1,202.26