Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $549.54 / $3,890.45	Facility		$95.50	$549.54	$3,890.45
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $446.68 / $446.68 / $446.68	Facility	50	$446.68	$446.68	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $194.98 / $457.09	Professional		$64.57	$194.98	$457.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $194.98 / $245.47 / $660.69	Professional	50	$194.98	$245.47	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $81.28 / $489.78	Professional		$53.70	$81.28	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,715.19 / $11,220.18	Facility		$9,549.93	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $74.13 / $537.03	Professional		$63.10	$74.13	$537.03
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $95.50 / $112.20 / $812.83	Professional	50	$95.50	$112.20	$812.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $81.28 / $102.33	Facility		$61.66	$81.28	$102.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $213.80 / $281.84	Professional		$75.86	$213.80	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $114.82 / $213.80	Facility		$34.67	$114.82	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $213.80 / $3,311.31	Professional		$75.86	$213.80	$3,311.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $66.07	Professional		$32.36	$33.11	$66.07
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 $72.44 / $177.83 / $338.84	Professional		$72.44	$177.83	$338.84