Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,698.24 / $4,265.80	Facility		$199.53	$1,698.24	$4,265.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $831.76 / $2,290.87 / $7,943.28	Facility	50	$831.76	$2,290.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $218.78 / $851.14	Professional		$147.91	$218.78	$851.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $263.03 / $501.19 / $2,398.83	Professional	50	$263.03	$501.19	$2,398.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $173.78 / $537.03	Professional		$75.86	$173.78	$537.03
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $204.17 / $281.84 / $501.19	Professional	50	$204.17	$281.84	$501.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,981.07 / $8,511.38	Facility		$2,630.27	$3,981.07	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $218.78	Professional		$141.25	$165.96	$218.78
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $245.47 / $331.13	Professional	50	$208.93	$245.47	$331.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $199.53 / $269.15	Facility		$144.54	$199.53	$269.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $181.97 / $234.42	Professional		$144.54	$181.97	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $269.15 / $2,290.87	Facility		$186.21	$269.15	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $257.04 / $933.25	Professional		$165.96	$257.04	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,445.44 / $5,248.07	Facility		$524.81	$1,445.44	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $181.97 / $295.12	Professional		$134.90	$181.97	$295.12