Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.10 / $86.07 / $485.35	Facility		$27.10	$86.07	$485.35
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $213.38 / $443.19 / $896.82	Facility	50	$213.38	$443.19	$896.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.57 / $45.68 / $72.17	Professional		$25.57	$45.68	$72.17
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $54.13 / $77.36 / $77.36	Professional	50	$54.13	$77.36	$77.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.06 / $55.87 / $66.14	Professional		$54.06	$55.87	$66.14
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $79.62 / $81.09 / $81.96	Professional	50	$79.62	$81.09	$81.96
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 $26.05 / $35.96 / $47.60	Professional		$26.05	$35.96	$47.60
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $39.07 / $53.94 / $71.40	Professional	50	$39.07	$53.94	$71.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.39 / $32.93 / $40.24	Facility		$24.39	$32.93	$40.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.71 / $65.45 / $86.04	Professional		$31.71	$65.45	$86.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.88 / $44.88 / $52.13	Facility		$44.88	$44.88	$52.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.74 / $61.51 / $104.34	Professional		$34.74	$61.51	$104.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $32.34 / $72.63	Professional		$22.06	$32.34	$72.63
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 $49.61 / $69.92 / $114.65	Professional		$49.61	$69.92	$114.65