Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.78 / $916.59 / $6,867.46	Facility		$89.78	$916.59	$6,867.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.10 / $874.80 / $1,850.56	Professional		$89.10	$874.80	$1,850.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.76 / $95.60 / $837.25	Professional		$82.76	$95.60	$837.25
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 $80.11 / $963.66 / $1,558.49	Professional		$80.11	$963.66	$1,558.49
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $120.16 / $1,445.49 / $2,309.56	Professional	50	$120.16	$1,445.49	$2,309.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.59 / $114.27 / $130.59	Facility		$77.59	$114.27	$130.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.36 / $121.02 / $1,176.53	Professional		$89.36	$121.02	$1,176.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.18 / $150.18 / $150.18	Facility		$150.18	$150.18	$150.18
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $93.86 / $93.86 / $93.86	Facility	62	$93.86	$93.86	$93.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.66 / $647.41 / $2,428.64	Professional		$105.66	$647.41	$2,428.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $990.82	Professional		$32.34	$32.34	$990.82
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 $1,189.04 / $1,811.01 / $2,511.30	Professional		$1,189.04	$1,811.01	$2,511.30