Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $239.88 / $8,128.31	Facility		$64.57	$239.88	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $97.72 / $239.88	Professional		$52.48	$97.72	$239.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $199.53 / $338.84 / $1,071.52	Professional	50	$199.53	$338.84	$1,071.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $117.49	Professional		$57.54	$75.86	$117.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $104.71	Professional		$54.95	$66.07	$104.71
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $100.00 / $158.49	Professional	50	$81.28	$100.00	$158.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $77.62 / $100.00	Facility		$60.26	$77.62	$100.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $123.03 / $151.36	Professional		$74.13	$123.03	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $109.65 / $109.65	Facility		$34.67	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $138.04 / $537.03	Professional		$75.86	$138.04	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $69.18	Professional		$32.36	$33.11	$69.18
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 $57.54 / $93.33 / $154.88	Professional		$57.54	$93.33	$154.88