Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $239.88 / $2,747.00	Facility		$58.70	$239.88	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $104.23 / $220.53	Professional		$54.18	$104.23	$220.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $144.25 / $144.25 / $144.25	Professional	50	$144.25	$144.25	$144.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.67 / $118.67 / $118.67	Professional		$118.67	$118.67	$118.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $1,991.00 / $2,894.00	Facility		$1,041.00	$1,991.00	$2,894.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $59.24 / $108.82	Professional		$48.76	$59.24	$108.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $73.14 / $88.86 / $163.22	Professional	50	$73.14	$88.86	$163.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $79.95 / $99.94	Facility		$56.00	$79.95	$99.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.82 / $82.81 / $202.74	Professional		$62.82	$82.81	$202.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.08 / $105.08 / $116.66	Facility		$105.08	$105.08	$116.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $143.93 / $267.58	Professional		$75.42	$143.93	$267.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $154.27	Professional		$32.34	$32.34	$154.27
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 $116.83 / $170.75 / $238.38	Professional		$116.83	$170.75	$238.38