Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.83 / $787.00 / $8,229.00	Facility		$261.83	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.18 / $272.35 / $1,052.00	Professional		$230.18	$272.35	$1,052.00
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $34.50 / $56.34 / $205.80	Professional	AS	$34.50	$56.34	$205.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $211.48 / $242.80 / $333.26	Professional		$211.48	$242.80	$333.26
Ambetter Facility/Professional Professional Modifier AS Low / Median / High Price $42.09 / $42.09 / $42.09	Professional	AS	$42.09	$42.09	$42.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.54 / $255.74 / $302.61	Professional		$214.54	$255.74	$302.61
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $30.03 / $35.79 / $42.36	Professional	AS	$30.03	$35.79	$42.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $238.04 / $321.35 / $392.77	Facility		$238.04	$321.35	$392.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $238.04 / $309.45 / $380.86	Professional		$238.04	$309.45	$380.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.55 / $292.55 / $292.55	Facility		$292.55	$292.55	$292.55
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $179.42 / $179.42 / $179.42	Facility	62	$179.42	$179.42	$179.42
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $28.71 / $28.71 / $28.71	Facility	AS	$28.71	$28.71	$28.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.98 / $370.82 / $529.98	Professional		$257.98	$370.82	$529.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $309.45	Professional		$32.34	$32.34	$309.45
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $254.24 / $349.55 / $535.32	Professional		$254.24	$349.55	$535.32