Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $5,011.87 / $12,589.25	Facility		$707.95	$5,011.87	$12,589.25
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,905.46 / $8,709.64 / $15,848.93	Facility	50	$1,905.46	$8,709.64	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $645.65 / $1,819.70	Professional		$380.19	$645.65	$1,819.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $478.63 / $776.25	Professional		$79.43	$478.63	$776.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $6,025.60 / $23,988.33	Facility		$2,754.23	$6,025.60	$23,988.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $407.38 / $575.44	Professional		$346.74	$407.38	$575.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $524.81 / $660.69	Facility		$398.11	$524.81	$660.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $660.69	Professional		$398.11	$501.19	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $2,290.87	Facility		$741.31	$741.31	$2,290.87
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	22	$891.25	$891.25	$891.25
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $74.13 / $74.13 / $74.13	Facility	AS	$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $602.56 / $2,344.23	Professional		$416.87	$602.56	$2,344.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $446.68	Professional		$32.36	$33.11	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,570.40 / $12,302.69	Facility		$851.14	$2,570.40	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $794.33	Professional		$371.54	$501.19	$794.33