Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,949.84 / $8,511.38	Facility		$549.54	$1,949.84	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $831.76	Professional		$426.58	$562.34	$831.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $691.83 / $691.83 / $691.83	Professional	50	$691.83	$691.83	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,073.80 / $9,549.93	Facility		$2,187.76	$4,073.80	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $812.83	Professional		$338.84	$398.11	$812.83
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $512.86 / $602.56 / $1,230.27	Professional	50	$512.86	$602.56	$1,230.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $478.63 / $616.60	Facility		$389.05	$478.63	$616.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $630.96	Professional		$426.58	$537.03	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $2,511.89	Facility		$707.95	$707.95	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $602.56 / $3,388.44	Professional		$380.19	$602.56	$3,388.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $245.47	Professional		$32.36	$33.11	$245.47
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 $380.19 / $478.63 / $851.14	Professional		$380.19	$478.63	$851.14