Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $776.25 / $2,884.03	Facility		$46.77	$776.25	$2,884.03
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $537.03 / $3,467.37 / $3,467.37	Facility	50	$537.03	$3,467.37	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $61.66 / $134.90	Professional		$33.88	$61.66	$134.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $46.77 / $114.82 / $331.13	Professional	50	$46.77	$114.82	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $52.48 / $83.18	Professional		$26.92	$52.48	$83.18
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $69.18 / $87.10 / $138.04	Professional	50	$69.18	$87.10	$138.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $46.77 / $75.86	Professional		$29.51	$46.77	$75.86
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $43.65 / $70.79 / $112.20	Professional	50	$43.65	$70.79	$112.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $42.66 / $56.23	Facility		$33.88	$42.66	$56.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $57.54 / $72.44	Professional		$41.69	$57.54	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $60.26 / $61.66	Facility		$34.67	$60.26	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $70.79 / $316.23	Professional		$43.65	$70.79	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $34.67	Professional		$25.12	$32.36	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $54.95 / $87.10	Professional		$36.31	$54.95	$87.10