Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $6,918.31 / $12,022.64	Facility		$776.25	$6,918.31	$12,022.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,090.30 / $6,760.83 / $11,481.54	Facility	50	$3,090.30	$6,760.83	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $602.56 / $4,466.84	Professional		$389.05	$602.56	$4,466.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $758.58	Professional		$380.19	$478.63	$758.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,754.40 / $9,549.93	Facility		$2,570.40	$5,754.40	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $537.03	Professional		$316.23	$371.54	$537.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $524.81 / $707.95	Facility		$371.54	$524.81	$707.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $602.56	Professional		$380.19	$478.63	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $707.95 / $707.95	Facility		$34.67	$707.95	$707.95
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $851.14 / $851.14 / $851.14	Facility	22	$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $707.95 / $1,905.46	Professional		$426.58	$707.95	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,677.35 / $10,000.00	Facility		$851.14	$4,677.35	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $776.25	Professional		$398.11	$549.54	$776.25