Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.45 / $199.41 / $2,747.00	Facility		$23.45	$199.41	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $49.04 / $210.02	Professional		$22.19	$49.04	$210.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,482.80 / $2,482.80 / $2,482.80	Professional	50	$2,482.80	$2,482.80	$2,482.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.01 / $31.01 / $31.01	Professional		$31.01	$31.01	$31.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.05 / $79.03 / $164.62	Professional		$61.05	$79.03	$164.62
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $91.57 / $118.54 / $246.93	Professional	50	$91.57	$118.54	$246.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.38 / $31.84 / $39.79	Facility		$22.38	$31.84	$39.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $32.06 / $52.34	Professional		$25.01	$32.06	$52.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.84 / $41.84 / $246.45	Facility		$41.84	$41.84	$246.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.69 / $184.21 / $355.13	Professional		$38.69	$184.21	$355.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $32.34 / $33.44	Professional		$15.99	$32.34	$33.44
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $68.97 / $330.91	Professional		$33.96	$68.97	$330.91