Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.43 / $226.42 / $712.40	Facility		$54.43	$226.42	$712.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.93 / $90.35 / $148.41	Professional		$48.93	$90.35	$148.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.88 / $51.88 / $71.59	Professional		$51.88	$51.88	$71.59
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 $55.71 / $99.47 / $167.73	Professional		$55.71	$99.47	$167.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.88 / $70.04 / $81.81	Facility		$51.88	$70.04	$81.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $110.11 / $160.16	Professional		$64.84	$110.11	$160.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.46 / $95.46 / $171.55	Facility		$95.46	$95.46	$171.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $118.10 / $231.00	Professional		$57.97	$118.10	$231.00
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 $96.93 / $135.44 / $195.50	Professional		$96.93	$135.44	$195.50