Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.10 / $252.48 / $621.29	Facility		$42.10	$252.48	$621.29
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $640.16 / $640.16 / $640.16	Facility	50	$640.16	$640.16	$640.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $62.11 / $114.85	Professional		$37.17	$62.11	$114.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $59.06 / $91.64	Professional		$36.97	$59.06	$91.64
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 $32.01 / $37.70 / $58.05	Professional		$32.01	$37.70	$58.05
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $48.02 / $56.55 / $87.07	Professional	50	$48.02	$56.55	$87.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.97 / $49.91 / $61.00	Facility		$36.97	$49.91	$61.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $73.31 / $94.08	Professional		$48.06	$73.31	$94.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.27 / $68.02 / $68.02	Facility		$64.27	$68.02	$68.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.46 / $72.23 / $117.60	Professional		$44.46	$72.23	$117.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $29.58 / $67.20	Professional		$18.32	$29.58	$67.20
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 $56.84 / $79.26 / $123.70	Professional		$56.84	$79.26	$123.70