Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.31 / $79.91 / $3,740.00	Facility		$25.31	$79.91	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.56 / $43.67 / $83.64	Professional		$25.56	$43.67	$83.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.01 / $47.01 / $47.01	Professional		$47.01	$47.01	$47.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $48.44 / $69.31	Professional		$25.12	$48.44	$69.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.34 / $32.68 / $38.51	Facility		$23.34	$32.68	$38.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.34 / $45.43 / $57.02	Professional		$30.34	$45.43	$57.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.95 / $42.95 / $56.65	Facility		$42.95	$42.95	$56.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $58.49 / $116.93	Professional		$29.16	$58.49	$116.93
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 $45.19 / $75.13 / $94.74	Professional		$45.19	$75.13	$94.74