Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.67 / $416.00 / $4,197.77	Facility		$51.67	$416.00	$4,197.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.33 / $84.79 / $130.08	Professional		$44.33	$84.79	$130.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $58.71 / $127.48	Professional		$30.01	$58.71	$127.48
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 $47.78 / $68.38 / $120.91	Professional		$47.78	$68.38	$120.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.97 / $65.76 / $77.50	Facility		$46.97	$65.76	$77.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.06 / $110.78 / $139.68	Professional		$61.06	$110.78	$139.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.42 / $86.42 / $100.40	Facility		$86.42	$86.42	$100.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.29 / $98.18 / $177.04	Professional		$59.29	$98.18	$177.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $59.25 / $79.98	Professional		$47.06	$59.25	$79.98
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 $76.84 / $110.96 / $181.44	Professional		$76.84	$110.96	$181.44