Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.09 / $170.55 / $2,747.00	Facility		$81.09	$170.55	$2,747.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,361.00 / $3,381.80 / $5,250.62	Facility	50	$1,361.00	$3,381.80	$5,250.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.03 / $151.44 / $280.72	Professional		$80.03	$151.44	$280.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.52 / $237.74 / $2,482.80	Professional	50	$125.52	$237.74	$2,482.80
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $219.23 / $240.44 / $240.44	Professional	50	$219.23	$240.44	$240.44
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 $63.29 / $79.50 / $123.57	Professional		$63.29	$79.50	$123.57
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $94.93 / $119.26 / $185.35	Professional	50	$94.93	$119.26	$185.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.68 / $112.97 / $138.24	Facility		$83.68	$112.97	$138.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.54 / $188.28 / $242.01	Professional		$109.54	$188.28	$242.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.97 / $153.97 / $153.97	Facility		$153.97	$153.97	$153.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.96 / $191.27 / $325.94	Professional		$106.96	$191.27	$325.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $53.65 / $172.87	Professional		$32.34	$53.65	$172.87
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $1,275.00 / $3,394.00	Facility		$391.00	$1,275.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.56 / $246.03 / $340.42	Professional		$164.56	$246.03	$340.42