Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.66 / $416.00 / $2,524.69	Facility		$41.66	$416.00	$2,524.69
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $786.96 / $988.00 / $1,361.00	Facility	50	$786.96	$988.00	$1,361.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.60 / $55.67 / $115.33	Professional		$36.60	$55.67	$115.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $80.98 / $138.47 / $498.07	Professional	50	$80.98	$138.47	$498.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.56 / $57.30 / $73.84	Professional		$38.56	$57.30	$73.84
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $74.25 / $84.40 / $110.66	Professional	50	$74.25	$84.40	$110.66
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 $28.90 / $49.88 / $76.69	Professional		$28.90	$49.88	$76.69
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $43.35 / $74.81 / $113.94	Professional	50	$43.35	$74.81	$113.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.29 / $48.99 / $59.88	Facility		$36.29	$48.99	$59.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.36 / $63.29 / $81.65	Professional		$45.36	$63.29	$81.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.77 / $66.77 / $75.20	Facility		$66.77	$66.77	$75.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $69.80 / $111.94	Professional		$43.70	$69.80	$111.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.90 / $32.34 / $68.56	Professional		$24.90	$32.34	$68.56
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 $52.07 / $74.48 / $109.09	Professional		$52.07	$74.48	$109.09