Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.12 / $78.18 / $916.58	Facility		$55.12	$78.18	$916.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.21 / $72.52 / $122.81	Professional		$52.21	$72.52	$122.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $118.88 / $147.00 / $154.35	Professional	50	$118.88	$147.00	$154.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $66.20 / $66.20	Professional		$66.20	$66.20	$66.20
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 $51.99 / $61.17 / $85.65	Professional		$51.99	$61.17	$85.65
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $77.98 / $91.75 / $128.47	Professional	50	$77.98	$91.75	$128.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.37 / $70.15 / $80.92	Facility		$49.37	$70.15	$80.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.12 / $70.66 / $112.75	Professional		$55.12	$70.66	$112.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.20 / $92.20 / $93.22	Facility		$92.20	$92.20	$93.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $100.80 / $160.12	Professional		$66.81	$100.80	$160.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $35.91 / $90.58	Professional		$32.34	$35.91	$90.58
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 $71.88 / $105.39 / $152.24	Professional		$71.88	$105.39	$152.24