Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.17 / $273.48 / $3,740.00	Facility		$62.17	$273.48	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.62 / $95.74 / $163.62	Professional		$58.62	$95.74	$163.62
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $27.36 / $38.28 / $56.02	Professional	52	$27.36	$38.28	$56.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.07 / $129.10 / $139.03	Professional		$97.07	$129.10	$139.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $2,045.00 / $2,978.00	Facility		$1,066.00	$2,045.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $59.64 / $117.53	Professional		$33.86	$59.64	$117.53
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $50.79 / $89.46 / $176.30	Professional	50	$50.79	$89.46	$176.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $83.89 / $93.47	Facility		$62.14	$83.89	$93.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.68 / $109.24 / $158.90	Professional		$77.68	$109.24	$158.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.59 / $114.34 / $114.34	Facility		$59.59	$114.34	$114.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.80 / $94.56 / $170.86	Professional		$58.80	$94.56	$170.86
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 $59.00 / $597.00 / $1,895.00	Facility		$59.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.73 / $107.19 / $174.62	Professional		$82.73	$107.19	$174.62