Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $1,000.00 / $3,890.45	Facility		$27.54	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $52.48 / $100.00	Professional		$23.99	$52.48	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $74.13	Professional		$60.26	$60.26	$74.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $41.69 / $60.26	Professional		$27.54	$41.69	$60.26
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $41.69 / $63.10 / $91.20	Professional	50	$41.69	$63.10	$91.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $33.11 / $42.66	Facility		$26.30	$33.11	$42.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $37.15 / $43.65	Professional		$23.44	$37.15	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $48.98 / $48.98	Facility		$34.67	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $67.61 / $416.87	Professional		$30.20	$67.61	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $58.88 / $107.15	Professional		$30.90	$58.88	$107.15