Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.51 / $54.69 / $3,740.00	Facility		$32.51	$54.69	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $44.12 / $80.73	Professional		$31.53	$44.12	$80.73
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $60.55 / $83.52 / $282.00	Professional	50	$60.55	$83.52	$282.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $45.31 / $50.07	Professional		$42.14	$45.31	$50.07
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $63.64 / $63.64 / $63.64	Professional	50	$63.64	$63.64	$63.64
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 $27.09 / $32.60 / $48.63	Professional		$27.09	$32.60	$48.63
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $40.64 / $48.90 / $72.94	Professional	50	$40.64	$48.90	$72.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.13 / $42.03 / $51.36	Facility		$31.13	$42.03	$51.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $54.37 / $70.04	Professional		$40.75	$54.37	$70.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.28 / $57.28 / $57.28	Facility		$57.28	$57.28	$57.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.20 / $61.71 / $94.23	Professional		$39.20	$61.71	$94.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $32.34 / $58.90	Professional		$24.99	$32.34	$58.90
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.30 / $66.31 / $88.18	Professional		$45.30	$66.31	$88.18