Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.28 / $374.12 / $3,740.00	Facility		$59.28	$374.12	$3,740.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $916.59 / $2,375.32 / $3,666.37	Facility	50	$916.59	$2,375.32	$3,666.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.77 / $165.84 / $341.12	Professional		$52.77	$165.84	$341.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $84.83 / $140.96 / $494.55	Professional	50	$84.83	$140.96	$494.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.55 / $76.55 / $76.55	Professional		$76.55	$76.55	$76.55
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $114.83 / $114.83 / $305.00	Professional	50	$114.83	$114.83	$305.00
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 $49.36 / $58.08 / $82.03	Professional		$49.36	$58.08	$82.03
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $74.05 / $87.12 / $123.04	Professional	50	$74.05	$87.12	$123.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.68 / $73.81 / $90.34	Facility		$54.68	$73.81	$90.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.08 / $241.96 / $313.13	Professional		$71.08	$241.96	$313.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.61 / $100.61 / $100.61	Facility		$100.61	$100.61	$100.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.52 / $190.79 / $346.68	Professional		$68.52	$190.79	$346.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $38.71 / $223.66	Professional		$32.34	$38.71	$223.66
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 $158.68 / $236.93 / $333.07	Professional		$158.68	$236.93	$333.07