Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.57 / $777.82 / $5,320.00	Facility		$253.57	$777.82	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.32 / $617.32 / $1,427.55	Professional		$263.32	$617.32	$1,427.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.91 / $126.91 / $219.43	Professional		$126.91	$126.91	$219.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.87 / $507.50 / $1,095.51	Professional		$194.87	$507.50	$1,095.51
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $292.31 / $761.25 / $1,634.35	Professional	50	$292.31	$761.25	$1,634.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $219.16 / $313.50 / $368.83	Facility		$219.16	$313.50	$368.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $264.52 / $341.82 / $1,036.01	Professional		$264.52	$341.82	$1,036.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.30 / $424.16 / $424.16	Facility		$393.30	$424.16	$424.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.01 / $771.59 / $2,008.91	Professional		$292.01	$771.59	$2,008.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $765.63	Professional		$32.34	$32.34	$765.63
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,481.00	Facility		$50.00	$668.00	$3,481.00
United Facility/Professional Professional Modifier Low / Median / High Price $795.42 / $1,399.94 / $2,091.67	Professional		$795.42	$1,399.94	$2,091.67