Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.94 / $82.15 / $412.11	Facility		$26.94	$82.15	$412.11
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $208.01 / $245.05 / $763.41	Facility	50	$208.01	$245.05	$763.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $61.67 / $129.47	Professional		$25.59	$61.67	$129.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $43.08 / $137.72 / $237.85	Professional	50	$43.08	$137.72	$237.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $87.08 / $97.17	Professional		$79.20	$87.08	$97.17
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $97.46 / $97.46 / $97.46	Professional	50	$97.46	$97.46	$97.46
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 $11.74 / $17.16 / $35.31	Professional		$11.74	$17.16	$35.31
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $17.62 / $25.74 / $52.96	Professional	50	$17.62	$25.74	$52.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.81 / $33.49 / $40.94	Facility		$24.81	$33.49	$40.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.01 / $91.09 / $114.66	Professional		$31.01	$91.09	$114.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.65 / $45.65 / $45.65	Facility		$45.65	$45.65	$45.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.52 / $87.31 / $136.62	Professional		$25.52	$87.31	$136.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.93 / $32.34 / $99.37	Professional		$18.93	$32.34	$99.37
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 $82.50 / $107.09 / $168.92	Professional		$82.50	$107.09	$168.92