Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.43 / $162.00 / $5,433.07	Facility		$74.43	$162.00	$5,433.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.45 / $78.90 / $125.52	Professional		$62.45	$78.90	$125.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.50 / $82.50 / $115.50	Professional		$82.50	$82.50	$115.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $2,045.00 / $2,978.00	Facility		$1,066.00	$2,045.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.98 / $59.50 / $98.77	Professional		$43.98	$59.50	$98.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.45 / $93.76 / $104.78	Facility		$69.45	$93.76	$104.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $82.50 / $97.92 / $138.90	Professional		$82.50	$97.92	$138.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $127.79 / $127.79	Facility		$66.70	$127.79	$127.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.85 / $82.88 / $136.75	Professional		$61.85	$82.88	$136.75
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 $67.51 / $86.62 / $138.69	Professional		$67.51	$86.62	$138.69