Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.26 / $190.48 / $3,740.00	Facility		$119.26	$190.48	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.78 / $140.07 / $195.74	Professional		$103.78	$140.07	$195.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $214.67 / $807.71 / $807.71	Professional	50	$214.67	$807.71	$807.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.39 / $127.39 / $127.39	Professional		$127.39	$127.39	$127.39
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $182.06 / $182.06 / $182.06	Professional	50	$182.06	$182.06	$182.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.39 / $96.94 / $151.54	Professional		$82.39	$96.94	$151.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $123.59 / $145.41 / $227.31	Professional	50	$123.59	$145.41	$227.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.70 / $115.17 / $167.52	Facility		$104.70	$115.17	$167.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $127.39 / $140.13 / $191.09	Professional		$127.39	$140.13	$191.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.99 / $165.29 / $192.65	Facility		$98.99	$165.29	$192.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $159.66 / $544.13	Professional		$106.70	$159.66	$544.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $51.75	Professional		$32.34	$32.34	$51.75
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 $121.26 / $157.11 / $270.48	Professional		$121.26	$157.11	$270.48