Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.89 / $587.04 / $2,243.92	Facility		$41.89	$587.04	$2,243.92
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $202.93 / $1,361.00 / $1,361.00	Facility	50	$202.93	$1,361.00	$1,361.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $69.23 / $134.22	Professional		$39.36	$69.23	$134.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $83.28 / $364.50 / $657.00	Professional	50	$83.28	$364.50	$657.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.24 / $38.24 / $47.80	Professional		$38.24	$38.24	$47.80
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 $41.50 / $52.83 / $81.77	Professional		$41.50	$52.83	$81.77
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $62.25 / $79.23 / $122.65	Professional	50	$62.25	$79.23	$122.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.24 / $51.62 / $63.10	Facility		$38.24	$51.62	$63.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.06 / $79.25 / $101.70	Professional		$50.06	$79.25	$101.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.36 / $70.36 / $165.89	Facility		$70.36	$70.36	$165.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.57 / $107.19 / $185.82	Professional		$54.57	$107.19	$185.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $32.34 / $85.85	Professional		$26.69	$32.34	$85.85
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 $74.84 / $118.82 / $151.26	Professional		$74.84	$118.82	$151.26