Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.27 / $299.79 / $8,229.00	Facility		$80.27	$299.79	$8,229.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $13.49 / $29.59 / $59.96	Facility	53	$13.49	$29.59	$59.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $148.49 / $299.79	Professional		$73.45	$148.49	$299.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.12 / $94.12 / $94.12	Professional		$94.12	$94.12	$94.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,834.00 / $2,399.00 / $11,253.00	Facility		$1,834.00	$2,399.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $83.15 / $275.60	Professional		$63.90	$83.15	$275.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.95 / $103.87 / $122.21	Facility		$74.95	$103.87	$122.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.30 / $110.75 / $238.80	Professional		$83.30	$110.75	$238.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.68 / $140.54 / $140.54	Facility		$119.68	$140.54	$140.54
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.11 / $28.11 / $28.11	Facility	53	$28.11	$28.11	$28.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.28 / $206.54 / $385.12	Professional		$96.28	$206.54	$385.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $178.57	Professional		$32.34	$32.34	$178.57
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,481.00	Facility		$50.00	$668.00	$3,481.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.97 / $267.24 / $392.25	Professional		$189.97	$267.24	$392.25