Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.54 / $177.03 / $2,747.00	Facility		$37.54	$177.03	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $63.64 / $98.72	Professional		$30.78	$63.64	$98.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.08 / $100.08 / $100.08	Professional		$100.08	$100.08	$100.08
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 $21.25 / $40.47 / $77.09	Professional		$21.25	$40.47	$77.09
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $31.88 / $60.70 / $115.65	Professional	50	$31.88	$60.70	$115.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.13 / $46.08 / $52.22	Facility		$34.13	$46.08	$52.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $81.54 / $118.61	Professional		$42.66	$81.54	$118.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.16 / $62.80 / $62.80	Facility		$43.16	$62.80	$62.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $66.83 / $132.12	Professional		$32.86	$66.83	$132.12
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 $61.99 / $78.94 / $132.96	Professional		$61.99	$78.94	$132.96