Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.96 / $881.00 / $3,740.00	Facility		$143.96	$881.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.88 / $283.20 / $849.85	Professional		$115.88	$283.20	$849.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $46.93 / $483.93	Professional		$46.93	$46.93	$483.93
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $198.33 / $198.33 / $659.90	Professional	50	$198.33	$198.33	$659.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.77 / $256.20 / $653.05	Professional		$86.77	$256.20	$653.05
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $130.16 / $384.32 / $968.73	Professional	50	$130.16	$384.32	$968.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $94.48 / $138.28 / $163.18	Facility		$94.48	$138.28	$163.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $145.55 / $748.77	Professional		$108.00	$145.55	$748.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.10 / $181.74 / $181.74	Facility		$181.10	$181.74	$181.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.36 / $473.58 / $1,003.52	Professional		$134.36	$473.58	$1,003.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $484.35	Professional		$32.34	$32.34	$484.35
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,481.00	Facility		$50.00	$668.00	$3,481.00
United Facility/Professional Professional Modifier Low / Median / High Price $536.54 / $875.57 / $1,175.17	Professional		$536.54	$875.57	$1,175.17