Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.95 / $416.00 / $2,747.00	Facility		$49.95	$416.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.07 / $98.24 / $161.61	Professional		$46.07	$98.24	$161.61
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $54.53 / $163.58 / $927.00	Professional	50	$54.53	$163.58	$927.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $40.60 / $40.60	Professional		$40.60	$40.60	$40.60
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 $47.09 / $55.41 / $91.13	Professional		$47.09	$55.41	$91.13
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $70.64 / $83.11 / $136.69	Professional	50	$70.64	$83.11	$136.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.77 / $64.48 / $78.91	Facility		$47.77	$64.48	$78.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $117.61 / $152.19	Professional		$62.10	$117.61	$152.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.90 / $87.90 / $201.67	Facility		$87.90	$87.90	$201.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $129.01 / $233.07	Professional		$68.95	$129.01	$233.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.84 / $32.34 / $108.71	Professional		$30.84	$32.34	$108.71
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 $99.28 / $137.63 / $184.73	Professional		$99.28	$137.63	$184.73