Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $19.05 / $257.04	Facility		$10.47	$19.05	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $18.62 / $40.74	Professional		$10.00	$18.62	$40.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $21.38 / $38.90	Professional		$14.45	$21.38	$38.90
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $21.88 / $32.36 / $57.54	Professional	50	$21.88	$32.36	$57.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $14.13 / $19.50	Facility		$10.47	$14.13	$19.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $14.13 / $16.98	Professional		$10.47	$14.13	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $34.67	Facility		$19.05	$19.05	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $37.15 / $208.93	Professional		$15.14	$37.15	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $32.36 / $33.11	Professional		$16.60	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $28.18 / $48.98	Professional		$12.30	$28.18	$48.98