Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.47 / $118.17 / $3,740.00	Facility		$50.47	$118.17	$3,740.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $613.17 / $613.17 / $9,445.19	Facility	50	$613.17	$613.17	$9,445.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.05 / $71.81 / $135.44	Professional		$48.05	$71.81	$135.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $105.18 / $374.65 / $789.00	Professional	50	$105.18	$374.65	$789.00
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $95.41 / $95.41 / $95.41	Professional	50	$95.41	$95.41	$95.41
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 $49.86 / $60.09 / $91.00	Professional		$49.86	$60.09	$91.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $74.79 / $90.13 / $136.50	Professional	50	$74.79	$90.13	$136.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.10 / $66.29 / $81.02	Facility		$49.10	$66.29	$81.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.83 / $82.07 / $109.42	Professional		$63.83	$82.07	$109.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.34 / $90.34 / $146.05	Facility		$90.34	$90.34	$146.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $114.03 / $199.42	Professional		$68.31	$114.03	$199.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $33.51 / $88.91	Professional		$32.34	$33.51	$88.91
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 $73.70 / $116.01 / $160.43	Professional		$73.70	$116.01	$160.43