Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.48 / $391.07 / $3,740.00	Facility		$76.48	$391.07	$3,740.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $446.87 / $446.87 / $446.87	Facility	50	$446.87	$446.87	$446.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.38 / $172.90 / $365.33	Professional		$61.38	$172.90	$365.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.48 / $78.69 / $190.79	Professional		$58.48	$78.69	$190.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.40 / $74.41 / $460.87	Professional		$61.40	$74.41	$460.87
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $92.10 / $111.61 / $691.30	Professional	50	$92.10	$111.61	$691.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.95 / $84.98 / $103.87	Facility		$62.95	$84.98	$103.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.13 / $224.73 / $301.26	Professional		$88.13	$224.73	$301.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.36 / $115.83 / $115.83	Facility		$83.36	$115.83	$115.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.59 / $206.94 / $397.29	Professional		$78.59	$206.94	$397.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $214.96	Professional		$32.34	$32.34	$214.96
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,481.00	Facility		$50.00	$668.00	$3,481.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.09 / $252.34 / $427.56	Professional		$180.09	$252.34	$427.56