Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.64 / $79.95 / $2,747.00	Facility		$47.64	$79.95	$2,747.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,457.99 / $1,457.99 / $1,457.99	Facility	50	$1,457.99	$1,457.99	$1,457.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.06 / $73.70 / $116.57	Professional		$46.06	$73.70	$116.57
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.27 / $130.29 / $437.12	Professional	50	$125.27	$130.29	$437.12
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $112.13 / $112.13 / $112.13	Professional	50	$112.13	$112.13	$112.13
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 $36.33 / $44.07 / $71.92	Professional		$36.33	$44.07	$71.92
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $54.50 / $66.09 / $107.88	Professional	50	$54.50	$66.09	$107.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.47 / $64.08 / $78.43	Facility		$47.47	$64.08	$78.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $95.65 / $123.79	Professional		$62.14	$95.65	$123.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.34 / $87.34 / $87.34	Facility		$87.34	$87.34	$87.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.99 / $100.24 / $166.68	Professional		$60.99	$100.24	$166.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.83 / $32.34 / $88.42	Professional		$31.83	$32.34	$88.42
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 $82.18 / $120.20 / $166.68	Professional		$82.18	$120.20	$166.68