Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $1,000.00 / $3,890.45	Facility		$138.04	$1,000.00	$3,890.45
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,981.07 / $3,981.07 / $5,888.44	Facility	50	$3,981.07	$3,981.07	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $331.13 / $794.33	Professional		$93.33	$331.13	$794.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $323.59 / $323.59	Professional	50	$141.25	$323.59	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $91.20 / $213.80	Professional		$79.43	$91.20	$213.80
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $128.82 / $128.82 / $138.04	Professional	50	$128.82	$128.82	$138.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,398.83 / $4,365.16	Facility		$1,479.11	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $363.08 / $524.81	Professional		$100.00	$363.08	$524.81
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $549.54 / $758.58	Professional	50	$147.91	$549.54	$758.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $123.03 / $147.91	Facility		$89.13	$123.03	$147.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $151.36	Professional		$83.18	$123.03	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $165.96 / $165.96	Facility		$34.67	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $562.34 / $2,691.53	Professional		$120.23	$562.34	$2,691.53
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 $389.05 / $954.99 / $3,388.44	Facility		$389.05	$954.99	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $426.58 / $831.76	Professional		$102.33	$426.58	$831.76