Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.54 / $195.62 / $8,229.00	Facility		$109.54	$195.62	$8,229.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $386.07 / $386.07 / $386.07	Facility	50	$386.07	$386.07	$386.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.90 / $171.06 / $266.94	Professional		$111.90	$171.06	$266.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $266.76 / $282.66 / $479.04	Professional	50	$266.76	$282.66	$479.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $222.30 / $222.30 / $222.30	Professional		$222.30	$222.30	$222.30
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 $93.78 / $143.18 / $251.29	Professional		$93.78	$143.18	$251.29
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $140.66 / $214.77 / $376.94	Professional	50	$140.66	$214.77	$376.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.83 / $169.16 / $199.37	Facility		$120.83	$169.16	$199.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $157.08 / $204.52 / $271.87	Professional		$157.08	$204.52	$271.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.17 / $222.33 / $222.33	Facility		$170.17	$222.33	$222.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.30 / $201.71 / $373.78	Professional		$131.30	$201.71	$373.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
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 $162.26 / $240.47 / $364.32	Professional		$162.26	$240.47	$364.32