Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $295.12 / $3,890.45	Facility		$75.86	$295.12	$3,890.45
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,311.31 / $3,311.31 / $9,120.11	Facility	50	$3,311.31	$3,311.31	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $125.89 / $323.59	Professional		$54.95	$125.89	$323.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $245.47 / $1,096.48	Professional	50	$208.93	$245.47	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $93.33 / $186.21	Professional		$51.29	$93.33	$186.21
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $36.31 / $36.31 / $489.78	Professional	50	$36.31	$36.31	$489.78
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 $52.48 / $64.57 / $91.20	Professional		$52.48	$64.57	$91.20
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $79.43 / $95.50 / $134.90	Professional	50	$79.43	$95.50	$134.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $70.79 / $100.00	Facility		$50.12	$70.79	$100.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $147.91 / $194.98	Professional		$66.07	$147.91	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $97.72 / $114.82	Facility		$34.67	$97.72	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $128.82 / $724.44	Professional		$66.07	$128.82	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$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 $56.23 / $100.00 / $204.17	Professional		$56.23	$100.00	$204.17