Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.61 / $536.58 / $2,885.88	Facility		$37.61	$536.58	$2,885.88
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $536.58 / $786.96 / $3,492.36	Facility	50	$536.58	$786.96	$3,492.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.02 / $50.60 / $95.27	Professional		$34.02	$50.60	$95.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $94.95 / $121.97 / $333.00	Professional	50	$94.95	$121.97	$333.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $48.85 / $68.15	Professional		$30.82	$48.85	$68.15
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $73.28 / $94.93 / $102.23	Professional	50	$73.28	$94.93	$102.23
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 $25.67 / $44.09 / $67.08	Professional		$25.67	$44.09	$67.08
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $38.50 / $66.14 / $100.62	Professional	50	$38.50	$66.14	$100.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.07 / $44.64 / $54.57	Facility		$33.07	$44.64	$54.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.99 / $58.42 / $74.97	Professional		$42.99	$58.42	$74.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.99 / $60.85 / $60.85	Facility		$58.99	$60.85	$60.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.18 / $63.08 / $100.00	Professional		$43.18	$63.08	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.96 / $32.34 / $63.28	Professional		$20.96	$32.34	$63.28
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 $47.83 / $65.15 / $101.30	Professional		$47.83	$65.15	$101.30