Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $537.03 / $2,818.38	Facility		$77.62	$537.03	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $102.33 / $331.13	Professional		$47.86	$102.33	$331.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $69.18 / $144.54 / $436.52	Professional	50	$69.18	$144.54	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $67.61 / $134.90	Professional		$44.67	$67.61	$134.90
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $64.57 / $112.20 / $190.55	Professional	50	$64.57	$112.20	$190.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $2,884.03	Facility		$1,258.93	$2,137.96	$2,884.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $43.65 / $288.40	Professional		$36.31	$43.65	$288.40
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $53.70 / $66.07 / $426.58	Professional	50	$53.70	$66.07	$426.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $61.66 / $81.28	Facility		$47.86	$61.66	$81.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $114.82 / $141.25	Professional		$58.88	$114.82	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $1,318.26	Facility		$87.10	$87.10	$1,318.26
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $17.38 / $17.38 / $17.38	Facility	53	$17.38	$17.38	$17.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $151.36 / $1,230.27	Professional		$66.07	$151.36	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $141.25	Professional		$32.36	$33.11	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $100.00 / $204.17	Professional		$54.95	$100.00	$204.17