Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.56 / $81.61 / $3,740.00	Facility		$28.56	$81.61	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $46.48 / $72.50	Professional		$25.90	$46.48	$72.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $49.77 / $53.48	Professional		$48.65	$49.77	$53.48
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 $25.02 / $37.67 / $56.97	Professional		$25.02	$37.67	$56.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $36.57 / $41.43	Facility		$27.09	$36.57	$41.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.24 / $56.01 / $81.47	Professional		$32.24	$56.01	$81.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.54 / $49.85 / $49.85	Facility		$43.54	$49.85	$49.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.92 / $47.43 / $91.01	Professional		$27.92	$47.43	$91.01
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 $43.55 / $56.30 / $90.60	Professional		$43.55	$56.30	$90.60