Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.68 / $820.91 / $3,666.37	Facility		$84.68	$820.91	$3,666.37
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,383.65 / $3,196.87 / $5,391.72	Facility	50	$1,383.65	$3,196.87	$5,391.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $141.43 / $343.79	Professional		$69.37	$141.43	$343.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $99.92 / $254.17 / $999.67	Professional	50	$99.92	$254.17	$999.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.98 / $148.54 / $148.54	Professional		$76.98	$148.54	$148.54
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 $64.73 / $125.92 / $152.59	Professional		$64.73	$125.92	$152.59
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $97.09 / $188.89 / $228.88	Professional	50	$97.09	$188.89	$228.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.98 / $103.92 / $127.18	Facility		$76.98	$103.92	$127.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.07 / $173.30 / $224.27	Professional		$100.07	$173.30	$224.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.63 / $141.63 / $421.72	Facility		$141.63	$141.63	$421.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.15 / $198.14 / $480.60	Professional		$86.15	$198.14	$480.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $292.08	Professional		$32.34	$32.34	$292.08
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 $151.90 / $233.01 / $341.78	Professional		$151.90	$233.01	$341.78