Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.96 / $191.10 / $3,740.00	Facility		$129.96	$191.10	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.96 / $170.57 / $262.37	Professional		$129.96	$170.57	$262.37
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $297.95 / $297.95 / $297.95	Professional	50	$297.95	$297.95	$297.95
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 $130.28 / $153.28 / $217.27	Professional		$130.28	$153.28	$217.27
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $195.43 / $229.92 / $325.91	Professional	50	$195.43	$229.92	$325.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.70 / $160.90 / $183.89	Facility		$114.70	$160.90	$183.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.93 / $163.16 / $258.58	Professional		$114.93	$163.16	$258.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.82 / $174.38 / $211.47	Facility		$165.82	$174.38	$211.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.10 / $221.60 / $597.15	Professional		$129.10	$221.60	$597.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $51.50	Professional		$32.34	$32.34	$51.50
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 $151.66 / $216.77 / $325.57	Professional		$151.66	$216.77	$325.57