Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.58 / $162.88 / $2,747.00	Facility		$60.58	$162.88	$2,747.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $560.86 / $560.86 / $1,796.64	Facility	50	$560.86	$560.86	$1,796.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.79 / $88.64 / $164.91	Professional		$55.79	$88.64	$164.91
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $31.37 / $202.51 / $673.50	Professional	50	$31.37	$202.51	$673.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.64 / $107.92 / $115.83	Professional		$84.64	$107.92	$115.83
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $127.38 / $142.00 / $173.75	Professional	50	$127.38	$142.00	$173.75
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 $43.48 / $62.77 / $94.88	Professional		$43.48	$62.77	$94.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $65.22 / $94.15 / $142.33	Professional	50	$65.22	$94.15	$142.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.77 / $73.94 / $90.37	Facility		$54.77	$73.94	$90.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $106.92 / $137.21	Professional		$71.20	$106.92	$137.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.78 / $100.78 / $100.78	Facility		$100.78	$100.78	$100.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.83 / $112.42 / $176.23	Professional		$71.83	$112.42	$176.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $38.87 / $115.83	Professional		$32.34	$38.87	$115.83
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 $89.30 / $122.80 / $187.44	Professional		$89.30	$122.80	$187.44