Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.92 / $85.81 / $3,292.82	Facility		$31.92	$85.81	$3,292.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $59.99 / $99.46	Professional		$31.92	$59.99	$99.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Professional		$78.00	$78.00	$78.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.03 / $47.04 / $90.62	Professional		$31.03	$47.04	$90.62
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $46.54 / $70.56 / $135.94	Professional	50	$46.54	$70.56	$135.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.74 / $46.90 / $53.15	Facility		$34.74	$46.90	$53.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $100.31 / $145.90	Professional		$43.43	$100.31	$145.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.51 / $63.92 / $63.92	Facility		$49.51	$63.92	$63.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $66.84 / $143.51	Professional		$35.00	$66.84	$143.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $152.00	Professional		$32.34	$32.34	$152.00
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $92.62 / $203.23	Professional		$57.75	$92.62	$203.23