Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.75 / $988.00 / $5,521.36	Facility		$75.75	$988.00	$5,521.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.27 / $142.18 / $185.93	Professional		$69.27	$142.18	$185.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.16 / $73.16 / $73.16	Professional		$73.16	$73.16	$73.16
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 $66.34 / $134.28 / $176.93	Professional		$66.34	$134.28	$176.93
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $99.51 / $201.42 / $265.39	Professional	50	$99.51	$201.42	$265.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.86 / $96.40 / $113.62	Facility		$68.86	$96.40	$113.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.52 / $177.38 / $223.65	Professional		$89.52	$177.38	$223.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.70 / $126.70 / $126.70	Facility		$126.70	$126.70	$126.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.60 / $175.49 / $339.16	Professional		$89.60	$175.49	$339.16
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 / $1,913.00 / $5,301.00	Facility		$523.00	$1,913.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.56 / $219.26 / $305.20	Professional		$164.56	$219.26	$305.20