Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.94 / $729.11 / $5,320.00	Facility		$47.94	$729.11	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.78 / $107.01 / $185.75	Professional		$38.78	$107.01	$185.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $33.01 / $40.04	Professional		$32.04	$33.01	$40.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.59 / $95.19 / $157.72	Professional		$48.59	$95.19	$157.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.95 / $45.53 / $52.03	Facility		$31.95	$45.53	$52.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.52 / $46.59 / $151.28	Professional		$32.52	$46.59	$151.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $59.84 / $59.84	Facility		$59.84	$59.84	$59.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.23 / $132.97 / $222.83	Professional		$45.23	$132.97	$222.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $94.60	Professional		$32.34	$32.34	$94.60
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $11,156.00	Facility		$50.00	$668.00	$11,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.47 / $158.27 / $236.62	Professional		$112.47	$158.27	$236.62