Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $1,000.00 / $3,890.45	Facility		$134.90	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $257.04	Professional		$128.82	$177.83	$257.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $302.00 / $302.00 / $338.84	Professional	50	$302.00	$302.00	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $309.03 / $309.03 / $309.03	Professional	50	$309.03	$309.03	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $2,951.21	Facility		$1,258.93	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $263.03	Professional		$134.90	$158.49	$263.03
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $199.53 / $234.42 / $389.05	Professional	50	$199.53	$234.42	$389.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $141.25 / $181.97	Facility		$114.82	$141.25	$181.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $190.55	Professional		$114.82	$162.18	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $1,659.59	Facility		$213.80	$213.80	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $251.19 / $1,000.00	Professional		$131.83	$251.19	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $38.90	Professional		$32.36	$33.11	$38.90
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 $134.90 / $204.17 / $316.23	Professional		$134.90	$204.17	$316.23