Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $1,000.00 / $3,890.45	Facility		$77.62	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $120.23 / $223.87	Professional		$72.44	$120.23	$223.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $524.81 / $524.81 / $870.96	Professional	50	$524.81	$524.81	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
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 $72.44 / $87.10 / $117.49	Professional		$72.44	$87.10	$117.49
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $128.82 / $173.78	Professional	50	$109.65	$128.82	$173.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $97.72 / $138.04	Facility		$70.79	$97.72	$138.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $120.23	Professional		$70.79	$97.72	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $134.90 / $134.90	Facility		$34.67	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $190.55 / $616.60	Professional		$100.00	$190.55	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $117.49	Professional		$32.36	$33.11	$117.49
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 $85.11 / $138.04 / $234.42	Professional		$85.11	$138.04	$234.42