Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $851.14 / $8,511.38	Facility		$39.81	$851.14	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $70.79 / $100.00	Professional		$39.81	$70.79	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $61.66 / $104.71	Professional		$37.15	$61.66	$104.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $50.12 / $60.26	Facility		$36.31	$50.12	$60.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $51.29 / $61.66	Professional		$33.88	$51.29	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $1,318.26	Facility		$67.61	$67.61	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $91.20 / $446.68	Professional		$48.98	$91.20	$446.68
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 $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $67.61 / $114.82	Professional		$40.74	$67.61	$114.82