Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.45 / $297.44 / $2,951.35	Facility		$64.45	$297.44	$2,951.35
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $500.34 / $2,606.84 / $2,997.87	Facility	50	$500.34	$2,606.84	$2,997.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.06 / $181.12 / $348.78	Professional		$61.06	$181.12	$348.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $148.54 / $161.93 / $294.54	Professional	50	$148.54	$161.93	$294.54
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $325.55 / $325.55 / $325.55	Professional	50	$325.55	$325.55	$325.55
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 $56.69 / $66.70 / $93.33	Professional		$56.69	$66.70	$93.33
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $85.04 / $100.05 / $140.00	Professional	50	$85.04	$100.05	$140.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $83.89 / $102.66	Facility		$62.14	$83.89	$102.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.34 / $257.58 / $334.23	Professional		$81.34	$257.58	$334.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.34 / $114.34 / $114.34	Facility		$114.34	$114.34	$114.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $210.40 / $380.34	Professional		$78.84	$210.40	$380.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $44.47 / $238.73	Professional		$32.34	$44.47	$238.73
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 $180.77 / $263.29 / $365.69	Professional		$180.77	$263.29	$365.69