Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $1,480.50 / $2,747.00	Facility		$150.33	$1,480.50	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $1,424.13 / $2,081.31	Professional		$150.33	$1,424.13	$2,081.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,345.91 / $1,345.91 / $1,345.91	Professional		$1,345.91	$1,345.91	$1,345.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,470.00 / $8,584.00 / $11,253.00	Facility		$5,470.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.63 / $1,340.98 / $2,358.73	Professional		$137.63	$1,340.98	$2,358.73
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $206.46 / $2,011.47 / $3,538.10	Professional	50	$206.46	$2,011.47	$3,538.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $148.57 / $203.92 / $235.24	Facility		$148.57	$203.92	$235.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $145.66 / $233.06 / $2,691.82	Professional		$145.66	$233.06	$2,691.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.01 / $268.01 / $268.01	Facility		$268.01	$268.01	$268.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.87 / $1,450.45 / $3,424.36	Professional		$186.87	$1,450.45	$3,424.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,796.98 / $2,654.40 / $3,366.73	Professional		$1,796.98	$2,654.40	$3,366.73