Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $2,344.23 / $7,244.36	Facility		$46.77	$2,344.23	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $52.48 / $123.03	Professional		$26.92	$52.48	$123.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $52.48 / $89.13	Professional		$39.81	$52.48	$89.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,238.72 / $3,548.13	Facility		$794.33	$2,238.72	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $58.88 / $104.71	Professional		$34.67	$58.88	$104.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $34.67 / $48.98	Facility		$30.20	$34.67	$48.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $95.50	Professional		$53.70	$53.70	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $61.66 / $109.65	Professional		$35.48	$61.66	$109.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $46.77 / $87.10	Professional		$22.39	$46.77	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,513.56 / $2,511.89	Facility		$177.83	$1,513.56	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $51.29 / $114.82	Professional		$27.54	$51.29	$114.82