Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $1,000.00 / $3,890.45	Facility		$25.70	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $44.67 / $208.93	Professional		$22.91	$44.67	$208.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $2,454.71 / $2,454.71	Professional	50	$208.93	$2,454.71	$2,454.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $35.48	Professional		$31.62	$31.62	$35.48
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $26.30 / $26.30 / $26.30	Professional	50	$26.30	$26.30	$26.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $2,951.21	Facility		$1,258.93	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $218.78	Professional		$67.61	$81.28	$218.78
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $100.00 / $123.03 / $331.13	Professional	50	$100.00	$123.03	$331.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $30.90 / $39.81	Facility		$22.39	$30.90	$39.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $37.15	Professional		$22.91	$30.90	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $1,318.26	Facility		$41.69	$41.69	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $208.93 / $1,047.13	Professional		$40.74	$208.93	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $32.36 / $33.11	Professional		$19.95	$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 $26.92 / $83.18 / $309.03	Professional		$26.92	$83.18	$309.03