Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.16 / $400.00 / $3,740.00	Facility		$51.16	$400.00	$3,740.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $894.24 / $2,150.78 / $2,805.00	Facility	50	$894.24	$2,150.78	$2,805.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.23 / $78.55 / $145.04	Professional		$45.23	$78.55	$145.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.42 / $126.76 / $2,482.80	Professional	50	$72.42	$126.76	$2,482.80
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $113.35 / $124.33 / $124.33	Professional	50	$113.35	$124.33	$124.33
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 $35.90 / $43.51 / $71.05	Professional		$35.90	$43.51	$71.05
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $53.86 / $65.26 / $106.57	Professional	50	$53.86	$65.26	$106.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.21 / $63.73 / $78.00	Facility		$47.21	$63.73	$78.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $97.51 / $125.14	Professional		$61.80	$97.51	$125.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.87 / $86.87 / $86.87	Facility		$86.87	$86.87	$86.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $99.03 / $165.88	Professional		$60.26	$99.03	$165.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.24 / $32.34 / $89.39	Professional		$31.24	$32.34	$89.39
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 $84.75 / $120.90 / $163.18	Professional		$84.75	$120.90	$163.18