Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $165.96 / $2,818.38	Facility		$40.74	$165.96	$2,818.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $10.47 / $162.18 / $1,949.84	Facility	50	$10.47	$162.18	$1,949.84
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $158.49 / $158.49 / $158.49	Facility	52	$158.49	$158.49	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $51.29 / $97.72	Professional		$30.90	$51.29	$97.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $70.79 / $102.33 / $562.34	Professional	50	$70.79	$102.33	$562.34
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $29.51 / $34.67 / $151.36	Professional	52	$29.51	$34.67	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $75.86	Professional		$34.67	$46.77	$75.86
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $51.29 / $63.10 / $112.20	Professional	50	$51.29	$63.10	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $2,951.21	Facility		$1,348.96	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $43.65 / $67.61	Professional		$28.18	$43.65	$67.61
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $42.66 / $66.07 / $102.33	Professional	50	$42.66	$66.07	$102.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $40.74 / $54.95	Facility		$28.84	$40.74	$54.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $47.86 / $61.66	Professional		$35.48	$47.86	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $54.95 / $54.95	Facility		$34.67	$54.95	$54.95
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $43.65 / $43.65 / $43.65	Facility	52	$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $58.88 / $281.84	Professional		$35.48	$58.88	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
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 $30.20 / $45.71 / $75.86	Professional		$30.20	$45.71	$75.86