Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.69 / $264.02 / $2,747.00	Facility		$50.69	$264.02	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.89 / $132.90 / $264.02	Professional		$46.89	$132.90	$264.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.54 / $64.48 / $152.00	Professional		$44.54	$64.48	$152.00
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 $45.29 / $54.89 / $369.15	Professional		$45.29	$54.89	$369.15
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $67.94 / $82.33 / $553.73	Professional	50	$67.94	$82.33	$553.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.08 / $62.21 / $76.03	Facility		$46.08	$62.21	$76.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $158.69 / $212.82	Professional		$59.90	$158.69	$212.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.02 / $84.79 / $84.79	Facility		$61.02	$84.79	$84.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.69 / $166.06 / $295.67	Professional		$57.69	$166.06	$295.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $151.79	Professional		$32.34	$32.34	$151.79
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,481.00	Facility		$50.00	$668.00	$3,481.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.29 / $183.33 / $288.35	Professional		$141.29	$183.33	$288.35