Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $1,000.00 / $3,890.45	Facility		$57.54	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $79.43 / $190.55	Professional		$42.66	$79.43	$190.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $100.00 / $239.88 / $354.81	Professional	50	$100.00	$239.88	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $77.62 / $95.50	Professional		$38.02	$77.62	$95.50
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $58.88 / $158.49 / $169.82	Professional	50	$58.88	$158.49	$169.82
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 $37.15 / $50.12 / $72.44	Professional		$37.15	$50.12	$72.44
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $53.70 / $74.13 / $109.65	Professional	50	$53.70	$74.13	$109.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $56.23 / $72.44	Facility		$43.65	$56.23	$72.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $89.13 / $107.15	Professional		$53.70	$89.13	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $79.43 / $79.43	Facility		$34.67	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $93.33 / $389.05	Professional		$54.95	$93.33	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $58.88	Professional		$32.36	$33.11	$58.88
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 $46.77 / $75.86 / $128.82	Professional		$46.77	$75.86	$128.82