Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.58 / $623.27 / $5,113.26	Facility		$225.58	$623.27	$5,113.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $868.56 / $2,660.00 / $2,660.00	Facility	50	$868.56	$2,660.00	$2,660.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.13 / $366.28 / $548.70	Professional		$220.13	$366.28	$548.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.24 / $124.24 / $124.24	Professional		$124.24	$124.24	$124.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,215.00 / $2,292.00 / $4,229.00	Facility		$1,215.00	$2,292.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.47 / $235.65 / $598.79	Professional		$194.47	$235.65	$598.79
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $291.70 / $353.47 / $898.20	Professional	50	$291.70	$353.47	$898.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $198.56 / $278.29 / $318.05	Facility		$198.56	$278.29	$318.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $228.10 / $288.23 / $479.05	Professional		$228.10	$288.23	$479.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.01 / $365.76 / $1,117.44	Facility		$235.01	$365.76	$1,117.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.43 / $388.87 / $1,032.10	Professional		$214.43	$388.87	$1,032.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $138.62	Professional		$32.34	$32.34	$138.62
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $346.63 / $428.52 / $707.89	Professional		$346.63	$428.52	$707.89