Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.85 / $81.62 / $461.03	Facility		$57.85	$81.62	$461.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $81.62 / $148.97	Professional		$57.03	$81.62	$148.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.97 / $91.58 / $130.72	Professional		$65.97	$91.58	$130.72
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 $46.67 / $58.34 / $82.84	Professional		$46.67	$58.34	$82.84
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $70.00 / $87.51 / $124.26	Professional	50	$70.00	$87.51	$124.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.24 / $74.41 / $115.91	Facility		$57.24	$74.41	$115.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $98.04 / $122.55	Professional		$81.70	$98.04	$122.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.90 / $78.90 / $93.52	Facility		$78.90	$78.90	$93.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.34 / $92.48 / $159.90	Professional		$63.34	$92.48	$159.90
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 $70.16 / $91.38 / $166.58	Professional		$70.16	$91.38	$166.58