Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.27 / $249.02 / $2,747.00	Facility		$39.27	$249.02	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $54.11 / $96.92	Professional		$36.65	$54.11	$96.92
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $80.09 / $82.31 / $109.95	Professional	50	$80.09	$82.31	$109.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.74 / $62.17 / $73.01	Professional		$49.74	$62.17	$73.01
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 $29.77 / $50.77 / $77.68	Professional		$29.77	$50.77	$77.68
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $44.66 / $76.15 / $116.52	Professional	50	$44.66	$76.15	$116.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.70 / $48.20 / $58.91	Facility		$35.70	$48.20	$58.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.73 / $62.58 / $80.31	Professional		$46.73	$62.58	$80.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.69 / $65.69 / $72.39	Facility		$65.69	$65.69	$72.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.91 / $67.81 / $112.54	Professional		$46.91	$67.81	$112.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $32.34 / $67.80	Professional		$28.32	$32.34	$67.80
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 $51.97 / $72.51 / $111.80	Professional		$51.97	$72.51	$111.80