Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $398.11 / $2,818.38	Facility		$70.79	$398.11	$2,818.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $831.76 / $1,905.46 / $2,754.23	Facility	50	$831.76	$1,905.46	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $93.33 / $316.23	Professional		$54.95	$93.33	$316.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $83.18 / $141.25 / $489.78	Professional	50	$83.18	$141.25	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $147.91	Professional		$57.54	$83.18	$147.91
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $95.50 / $131.83 / $208.93	Professional	50	$95.50	$131.83	$208.93
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 $41.69 / $51.29 / $83.18	Professional		$41.69	$51.29	$83.18
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $63.10 / $75.86 / $125.89	Professional	50	$63.10	$75.86	$125.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $72.44 / $97.72	Facility		$56.23	$72.44	$97.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $104.71 / $128.82	Professional		$69.18	$104.71	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $102.33 / $102.33	Facility		$34.67	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $125.89 / $457.09	Professional		$70.79	$125.89	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $67.61	Professional		$32.36	$33.11	$67.61
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 $60.26 / $97.72 / $165.96	Professional		$60.26	$97.72	$165.96