Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $1,000.00 / $3,890.45	Facility		$75.86	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $93.33 / $239.88	Professional		$54.95	$93.33	$239.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $371.54 / $416.87 / $2,454.71	Professional	50	$371.54	$416.87	$2,454.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $102.33	Professional		$85.11	$85.11	$102.33
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $63.10 / $63.10 / $63.10	Professional	50	$63.10	$63.10	$63.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $2,951.21	Facility		$1,348.96	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $66.07 / $89.13	Professional		$53.70	$66.07	$89.13
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $97.72 / $134.90	Professional	50	$81.28	$97.72	$134.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $74.13 / $102.33	Facility		$53.70	$74.13	$102.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $74.13 / $89.13	Professional		$58.88	$74.13	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,318.26	Facility		$100.00	$100.00	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $162.18 / $812.83	Professional		$75.86	$162.18	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $77.62	Professional		$32.36	$33.11	$77.62
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 $61.66 / $104.71 / $218.78	Professional		$61.66	$104.71	$218.78