Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $660.69 / $3,090.30	Facility		$47.86	$660.69	$3,090.30
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility	50	$1,513.56	$1,513.56	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $63.10 / $151.36	Professional		$37.15	$63.10	$151.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $120.23 / $407.38	Professional	50	$74.13	$120.23	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $51.29 / $74.13	Professional		$26.30	$51.29	$74.13
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $70.79 / $89.13 / $125.89	Professional	50	$70.79	$89.13	$125.89
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 $36.31 / $48.98 / $85.11	Professional		$36.31	$48.98	$85.11
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $53.70 / $74.13 / $128.82	Professional	50	$53.70	$74.13	$128.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $44.67 / $57.54	Facility		$34.67	$44.67	$57.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $58.88 / $74.13	Professional		$42.66	$58.88	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $63.10 / $66.07	Facility		$34.67	$63.10	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $74.13 / $346.74	Professional		$44.67	$74.13	$346.74
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 $37.15 / $57.54 / $91.20	Professional		$37.15	$57.54	$91.20