Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.78 / $107.47 / $955.60	Facility		$50.78	$107.47	$955.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.98 / $66.62 / $117.84	Professional		$42.98	$66.62	$117.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.80 / $64.17 / $100.74	Professional		$63.80	$64.17	$100.74
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 $38.79 / $48.27 / $75.31	Professional		$38.79	$48.27	$75.31
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $58.19 / $72.40 / $112.99	Professional	50	$58.19	$72.40	$112.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.16 / $62.32 / $76.16	Facility		$46.16	$62.32	$76.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.01 / $80.59 / $103.43	Professional		$60.01	$80.59	$103.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.95 / $84.93 / $84.93	Facility		$66.95	$84.93	$84.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $80.62 / $128.97	Professional		$55.08	$80.62	$128.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.76 / $32.34 / $73.88	Professional		$22.76	$32.34	$73.88
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 $62.12 / $84.99 / $131.71	Professional		$62.12	$84.99	$131.71