Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.39 / $464.70 / $1,029.30	Facility		$65.39	$464.70	$1,029.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $82.40 / $154.63	Professional		$57.03	$82.40	$154.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $170.83 / $170.83 / $170.83	Professional	50	$170.83	$170.83	$170.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.20 / $77.61 / $105.64	Professional		$77.20	$77.61	$105.64
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 $45.98 / $55.72 / $81.48	Professional		$45.98	$55.72	$81.48
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $68.97 / $83.58 / $122.23	Professional	50	$68.97	$83.58	$122.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $78.30 / $95.70	Facility		$58.00	$78.30	$95.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.40 / $97.51 / $125.14	Professional		$75.40	$97.51	$125.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.22 / $106.72 / $106.72	Facility		$81.22	$106.72	$106.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.91 / $100.43 / $162.38	Professional		$64.91	$100.43	$162.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $32.34 / $89.39	Professional		$25.90	$32.34	$89.39
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 $75.45 / $102.78 / $159.33	Professional		$75.45	$102.78	$159.33