Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.01 / $28.27 / $91.91	Facility		$15.01	$28.27	$91.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $26.52 / $42.60	Professional		$16.64	$26.52	$42.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $43.95 / $67.31 / $67.31	Professional	50	$43.95	$67.31	$67.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $24.61 / $32.47	Professional		$18.73	$24.61	$32.47
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $37.46 / $37.46 / $37.46	Professional	50	$37.46	$37.46	$37.46
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 $19.03 / $25.06 / $36.09	Professional		$19.03	$25.06	$36.09
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $28.55 / $37.59 / $54.13	Professional	50	$28.55	$37.59	$54.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.34 / $22.06 / $26.96	Facility		$16.34	$22.06	$26.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $30.84 / $38.54	Professional		$21.24	$30.84	$38.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.07 / $30.07 / $40.60	Facility		$30.07	$30.07	$40.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.51 / $39.99 / $81.06	Professional		$23.51	$39.99	$81.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $32.34 / $33.40	Professional		$15.38	$32.34	$33.40
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 $27.27 / $41.86 / $61.97	Professional		$27.27	$41.86	$61.97