Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.60 / $488.86 / $2,747.00	Facility		$51.60	$488.86	$2,747.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $8.27 / $17.32 / $45.81	Facility	53	$8.27	$17.32	$45.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.08 / $93.64 / $195.97	Professional		$46.08	$93.64	$195.97
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $69.93 / $116.94 / $204.41	Professional	50	$69.93	$116.94	$204.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.47 / $92.47 / $92.47	Professional		$92.47	$92.47	$92.47
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 $36.13 / $46.43 / $92.63	Professional		$36.13	$46.43	$92.63
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $54.19 / $69.64 / $138.94	Professional	50	$54.19	$69.64	$138.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.91 / $63.33 / $77.50	Facility		$46.91	$63.33	$77.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.41 / $114.09 / $149.56	Professional		$61.41	$114.09	$149.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.31 / $86.31 / $99.26	Facility		$86.31	$86.31	$99.26
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $17.26 / $17.26 / $17.26	Facility	53	$17.26	$17.26	$17.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.43 / $119.50 / $243.82	Professional		$61.43	$119.50	$243.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $137.13	Professional		$32.34	$32.34	$137.13
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 $104.48 / $164.88 / $230.34	Professional		$104.48	$164.88	$230.34