Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.62 / $447.10 / $3,666.37	Facility		$132.62	$447.10	$3,666.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.39 / $205.32 / $348.60	Professional		$115.39	$205.32	$348.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.25 / $288.25 / $556.23	Professional	50	$288.25	$288.25	$556.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.03 / $238.71 / $238.71	Professional		$234.03	$238.71	$238.71
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 $92.54 / $110.15 / $178.50	Professional		$92.54	$110.15	$178.50
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $138.82 / $165.22 / $267.75	Professional	50	$138.82	$165.22	$267.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $118.92 / $168.78 / $210.98	Facility		$118.92	$168.78	$210.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $132.62 / $174.81 / $399.10	Professional		$132.62	$174.81	$399.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.49 / $221.83 / $221.83	Facility		$163.49	$221.83	$221.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.57 / $266.20 / $474.47	Professional		$139.57	$266.20	$474.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $304.24	Professional		$32.34	$32.34	$304.24
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 $228.26 / $347.98 / $473.24	Professional		$228.26	$347.98	$473.24