Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $398.11 / $3,890.45	Facility		$48.98	$398.11	$3,890.45
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $616.60 / $616.60 / $1,445.44	Facility	50	$616.60	$616.60	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $79.43 / $213.80	Professional		$46.77	$79.43	$213.80
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $173.78 / $416.87	Professional	50	$74.13	$173.78	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $69.18 / $144.54	Professional		$43.65	$69.18	$144.54
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $128.82 / $346.74	Professional	50	$81.28	$128.82	$346.74
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 / $72.44	Professional		$36.31	$43.65	$72.44
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $54.95 / $66.07 / $107.15	Professional	50	$54.95	$66.07	$107.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $64.57 / $83.18	Facility		$47.86	$64.57	$83.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $93.33 / $117.49	Professional		$57.54	$93.33	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $87.10 / $87.10	Facility		$34.67	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $112.20 / $416.87	Professional		$61.66	$112.20	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $63.10	Professional		$32.36	$33.11	$63.10
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 $51.29 / $87.10 / $151.36	Professional		$51.29	$87.10	$151.36