Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.49 / $148.33 / $3,740.00	Facility		$30.49	$148.33	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.06 / $72.83 / $131.90	Professional		$30.06	$72.83	$131.90
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.98 / $36.42 / $44.82	Professional	52	$14.98	$36.42	$44.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $85.25 / $100.29	Professional		$85.25	$85.25	$100.29
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 $40.24 / $60.04 / $106.13	Professional		$40.24	$60.04	$106.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.72 / $38.81 / $45.74	Facility		$27.72	$38.81	$45.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $75.04 / $96.95	Professional		$36.04	$75.04	$96.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $51.00 / $80.86	Facility		$51.00	$51.00	$80.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $87.91 / $155.49	Professional		$43.50	$87.91	$155.49
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 $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.38 / $116.16 / $147.06	Professional		$73.38	$116.16	$147.06