Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.68 / $468.40 / $2,960.94	Facility		$57.68	$468.40	$2,960.94
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $701.86 / $721.47 / $865.46	Facility	50	$701.86	$721.47	$865.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.90 / $73.52 / $132.38	Professional		$51.90	$73.52	$132.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $122.28 / $230.10 / $570.00	Professional	50	$122.28	$230.10	$570.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.94 / $97.31 / $103.29	Professional		$70.94	$97.31	$103.29
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $106.40 / $106.40 / $157.19	Professional	50	$106.40	$106.40	$157.19
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 $46.41 / $61.02 / $93.46	Professional		$46.41	$61.02	$93.46
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $69.62 / $91.53 / $140.19	Professional	50	$69.62	$91.53	$140.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.44 / $70.79 / $86.53	Facility		$52.44	$70.79	$86.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.17 / $89.82 / $117.99	Professional		$68.17	$89.82	$117.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.39 / $96.49 / $96.49	Facility		$72.39	$96.49	$96.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.86 / $88.18 / $138.25	Professional		$60.86	$88.18	$138.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $32.34 / $97.31	Professional		$28.32	$32.34	$97.31
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.98 / $96.54 / $141.53	Professional		$69.98	$96.54	$141.53