Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.47 / $315.75 / $5,320.00	Facility		$141.47	$315.75	$5,320.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,562.36 / $3,562.36 / $3,562.36	Facility	50	$3,562.36	$3,562.36	$3,562.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.47 / $229.41 / $312.30	Professional		$141.47	$229.41	$312.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.13 / $316.13 / $316.13	Professional		$316.13	$316.13	$316.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.36 / $209.67 / $276.27	Professional		$127.36	$209.67	$276.27
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $191.04 / $314.51 / $414.41	Professional	50	$191.04	$314.51	$414.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $140.10 / $191.63 / $221.07	Facility		$140.10	$191.63	$221.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.88 / $219.01 / $496.58	Professional		$162.88	$219.01	$496.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.86 / $251.86 / $251.86	Facility		$251.86	$251.86	$251.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.69 / $286.70 / $527.76	Professional		$156.69	$286.70	$527.76
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 $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $245.69 / $364.38 / $509.10	Professional		$245.69	$364.38	$509.10