Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.22 / $416.00 / $2,747.00	Facility		$53.22	$416.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $75.23 / $145.59	Professional		$47.53	$75.23	$145.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $79.45 / $189.86 / $676.13	Professional	50	$79.45	$189.86	$676.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.48 / $95.86 / $113.01	Professional		$60.48	$95.86	$113.01
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 $37.18 / $54.84 / $83.87	Professional		$37.18	$54.84	$83.87
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $55.78 / $82.26 / $125.80	Professional	50	$55.78	$82.26	$125.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.38 / $65.31 / $79.83	Facility		$48.38	$65.31	$79.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.48 / $96.86 / $124.31	Professional		$60.48	$96.86	$124.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.02 / $89.02 / $89.02	Facility		$89.02	$89.02	$89.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.68 / $96.93 / $155.53	Professional		$61.68	$96.93	$155.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $33.22 / $104.94	Professional		$32.34	$33.22	$104.94
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $106.74 / $166.08	Professional		$80.04	$106.74	$166.08