Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.81 / $91.99 / $2,747.00	Facility		$51.81	$91.99	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.18 / $64.70 / $85.49	Professional		$50.18	$64.70	$85.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.71 / $57.75 / $84.97	Professional		$56.71	$57.75	$84.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $8,584.00 / $11,253.00	Facility		$85.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.94 / $53.25 / $78.72	Professional		$43.94	$53.25	$78.72
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $65.91 / $77.55 / $120.49	Professional	50	$65.91	$77.55	$120.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.37 / $49.91 / $72.59	Facility		$45.37	$49.91	$72.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.71 / $64.00 / $90.74	Professional		$56.71	$64.00	$90.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.55 / $83.48 / $83.48	Facility		$66.55	$83.48	$83.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $76.23 / $230.73	Professional		$49.03	$76.23	$230.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.74 / $32.34 / $35.65	Professional		$26.74	$32.34	$35.65
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.60 / $73.59 / $136.82	Professional		$60.60	$73.59	$136.82