Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $26.30 / $288.40	Facility		$16.60	$26.30	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $26.92 / $60.26	Professional		$15.85	$26.92	$60.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $38.90 / $52.48 / $102.33	Professional	50	$38.90	$52.48	$102.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.12 / $27.54	Professional		$21.88	$25.12	$27.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,466.84 / $8,709.64	Facility		$2,454.71	$4,466.84	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $21.38 / $34.67	Professional		$16.60	$21.38	$34.67
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $25.12 / $32.36 / $51.29	Professional	50	$25.12	$32.36	$51.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.95 / $23.44	Facility		$16.22	$19.95	$23.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.11 / $36.31	Professional		$25.70	$33.11	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $21.88	Facility		$18.62	$18.62	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $36.31 / $58.88	Professional		$19.05	$36.31	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $2,137.96 / $5,754.40	Facility		$131.83	$2,137.96	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $32.36 / $54.95	Professional		$16.98	$32.36	$54.95