Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $1,423.01 / $5,634.00	Facility		$43.19	$1,423.01	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.88 / $68.23 / $115.39	Professional		$41.88	$68.23	$115.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.34 / $93.89 / $112.67	Professional		$71.34	$93.89	$112.67
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $115.06 / $115.06 / $146.46	Professional	50	$115.06	$115.06	$146.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.21 / $57.55 / $90.74	Professional		$38.21	$57.55	$90.74
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $57.31 / $86.32 / $136.11	Professional	50	$57.31	$86.32	$136.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $56.24 / $88.20	Facility		$42.00	$56.24	$88.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.11 / $93.89 / $118.31	Professional		$75.11	$93.89	$118.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.59 / $64.59 / $76.56	Facility		$64.59	$64.59	$76.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.35 / $78.81 / $117.70	Professional		$50.35	$78.81	$117.70
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.68 / $83.46 / $146.66	Professional		$61.68	$83.46	$146.66