Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $1,000.00 / $3,890.45	Facility		$123.03	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $208.93	Professional		$112.20	$141.25	$208.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $177.83 / $562.34 / $707.95	Professional	50	$177.83	$562.34	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $125.89	Professional		$120.23	$120.23	$125.89
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $190.55 / $190.55 / $190.55	Professional	50	$190.55	$190.55	$190.55
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 $83.18 / $100.00 / $154.88	Professional		$83.18	$100.00	$154.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $147.91 / $234.42	Professional	50	$125.89	$147.91	$234.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $120.23 / $151.36	Facility		$104.71	$120.23	$151.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $173.78	Professional		$104.71	$147.91	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $147.91 / $194.98	Facility		$34.67	$147.91	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $158.49 / $660.69	Professional		$100.00	$158.49	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $42.66	Professional		$32.36	$33.11	$42.66
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 $95.50 / $120.23 / $229.09	Professional		$95.50	$120.23	$229.09