Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.63 / $787.00 / $3,409.56	Facility		$87.63	$787.00	$3,409.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.89 / $82.23 / $129.66	Professional		$49.89	$82.23	$129.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $78.12 / $96.86	Professional		$61.66	$78.12	$96.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $2,292.00 / $4,059.00	Facility		$1,359.00	$2,292.00	$4,059.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $62.39 / $112.57	Professional		$42.00	$62.39	$112.57
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $63.01 / $93.58 / $168.86	Professional	50	$63.01	$93.58	$168.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.80 / $75.33 / $85.86	Facility		$55.80	$75.33	$85.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $125.35 / $182.32	Professional		$66.95	$125.35	$182.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.23 / $102.67 / $1,587.00	Facility		$58.23	$102.67	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.52 / $87.81 / $193.65	Professional		$51.52	$87.81	$193.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $152.00	Professional		$32.34	$32.34	$152.00
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.67 / $105.28 / $205.88	Professional		$66.67	$105.28	$205.88