Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $39.81 / $389.05	Facility		$18.20	$39.81	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $27.54 / $48.98	Professional		$15.85	$27.54	$48.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $43.65 / $67.61 / $102.33	Professional	50	$43.65	$67.61	$102.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $26.30 / $41.69	Professional		$24.55	$26.30	$41.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.84 / $41.69	Professional		$21.38	$28.84	$41.69
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $31.62 / $41.69 / $63.10	Professional	50	$31.62	$41.69	$63.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $21.38 / $27.54	Facility		$16.60	$21.38	$27.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.90 / $37.15	Professional		$20.42	$30.90	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $34.67	Facility		$30.20	$30.20	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $44.67 / $213.80	Professional		$23.44	$44.67	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $32.36 / $33.11	Professional		$17.78	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $35.48 / $57.54	Professional		$18.62	$35.48	$57.54