Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $630.96 / $3,890.45	Facility		$70.79	$630.96	$3,890.45
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $912.01 / $1,905.46 / $3,235.94	Facility	50	$912.01	$1,905.46	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $181.97 / $691.83	Professional		$54.95	$181.97	$691.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $147.91 / $933.25	Professional	50	$81.28	$147.91	$933.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $120.23 / $323.59	Professional		$51.29	$120.23	$323.59
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $87.10 / $177.83 / $346.74	Professional	50	$87.10	$177.83	$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 $48.98 / $57.54 / $81.28	Professional		$48.98	$57.54	$81.28
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $87.10 / $123.03	Professional	50	$74.13	$87.10	$123.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $72.44 / $95.50	Facility		$54.95	$72.44	$95.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $239.88 / $295.12	Professional		$67.61	$239.88	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $100.00 / $100.00	Facility		$34.67	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $234.42 / $1,096.48	Professional		$69.18	$234.42	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $144.54	Professional		$32.36	$33.11	$144.54
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 $61.66 / $128.82 / $295.12	Professional		$61.66	$128.82	$295.12