Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.34 / $787.00 / $2,747.00	Facility		$94.34	$787.00	$2,747.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,100.72 / $1,100.72 / $4,397.39	Facility	50	$1,100.72	$1,100.72	$4,397.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.24 / $115.82 / $181.68	Professional		$91.24	$115.82	$181.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $188.22 / $188.22 / $188.22	Professional	50	$188.22	$188.22	$188.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.47 / $102.44 / $131.91	Professional		$101.47	$102.44	$131.91
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $152.19 / $153.66 / $204.37	Professional	50	$152.19	$153.66	$204.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,010.00 / $2,045.00 / $2,978.00	Facility		$1,010.00	$2,045.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.49 / $102.94 / $185.60	Professional		$87.49	$102.94	$185.60
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $131.24 / $154.41 / $278.39	Professional	50	$131.24	$154.41	$278.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.60 / $91.96 / $125.16	Facility		$83.60	$91.96	$125.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.47 / $111.62 / $152.21	Professional		$101.47	$111.62	$152.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.77 / $153.82 / $525.25	Facility		$63.77	$153.82	$525.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.56 / $183.68 / $474.07	Professional		$88.56	$183.68	$474.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $164.69	Professional		$32.34	$32.34	$164.69
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $399.00 / $3,176.00	Facility		$50.00	$399.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.56 / $161.26 / $252.10	Professional		$96.56	$161.26	$252.10