Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $331.13 / $3,801.89	Facility		$18.20	$331.13	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $37.15 / $95.50	Professional		$12.88	$37.15	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $58.88 / $109.65	Professional		$18.20	$58.88	$109.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $28.18 / $40.74	Professional		$15.14	$28.18	$40.74
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $22.91 / $41.69 / $61.66	Professional	50	$22.91	$41.69	$61.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $18.20 / $21.88	Facility		$14.13	$18.20	$21.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $61.66 / $85.11	Professional		$14.45	$61.66	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $52.48	Facility		$26.92	$26.92	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $48.98 / $331.13	Professional		$16.22	$48.98	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
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 $16.60 / $35.48 / $79.43	Professional		$16.60	$35.48	$79.43