Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $257.04 / $4,897.79	Facility		$11.22	$257.04	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $12.02 / $25.70	Professional		$7.08	$12.02	$25.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $5.37	Professional		$5.37	$5.37	$5.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,466.84 / $8,709.64	Facility		$2,454.71	$4,466.84	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $12.30 / $27.54	Professional		$7.08	$12.30	$27.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $10.72 / $18.62 / $41.69	Professional	50	$10.72	$18.62	$41.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $7.59 / $7.59	Facility		$7.59	$7.59	$7.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $14.13 / $22.91	Professional		$7.94	$14.13	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $2,137.96 / $5,754.40	Facility		$50.12	$2,137.96	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $11.48 / $22.39	Professional		$6.76	$11.48	$22.39