Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.90 / $266.37 / $2,747.00	Facility		$43.90	$266.37	$2,747.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $21.81 / $97.47 / $133.19	Facility	52	$21.81	$97.47	$133.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.04 / $194.93 / $336.68	Professional		$43.04	$194.93	$336.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $37.90 / $55.95	Professional		$37.90	$37.90	$55.95
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 $40.24 / $156.08 / $302.49	Professional		$40.24	$156.08	$302.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $54.27 / $63.86	Facility		$39.15	$54.27	$63.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.80 / $57.28 / $267.20	Professional		$45.80	$57.28	$267.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.50 / $73.43 / $73.43	Facility		$45.50	$73.43	$73.43
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $58.74 / $58.74 / $58.74	Facility	52	$58.74	$58.74	$58.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.94 / $192.91 / $358.42	Professional		$48.94	$192.91	$358.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $194.93	Professional		$32.34	$32.34	$194.93
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 $185.88 / $255.83 / $378.78	Professional		$185.88	$255.83	$378.78