Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.58 / $142.50 / $2,747.00	Facility		$59.58	$142.50	$2,747.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,580.04 / $2,260.64 / $2,805.00	Facility	50	$1,580.04	$2,260.64	$2,805.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.03 / $85.07 / $151.88	Professional		$53.03	$85.07	$151.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $92.15 / $154.41 / $386.00	Professional	50	$92.15	$154.41	$386.00
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $116.05 / $116.05 / $131.82	Professional	50	$116.05	$116.05	$131.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $1,991.00 / $2,894.00	Facility		$1,041.00	$1,991.00	$2,894.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $51.02 / $82.85	Professional		$42.11	$51.02	$82.85
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $63.16 / $76.53 / $124.28	Professional	50	$63.16	$76.53	$124.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.26 / $74.59 / $91.30	Facility		$55.26	$74.59	$91.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.08 / $105.46 / $135.34	Professional		$69.08	$105.46	$135.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.68 / $101.68 / $101.68	Facility		$101.68	$101.68	$101.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $111.22 / $181.56	Professional		$68.48	$111.22	$181.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $36.52 / $96.67	Professional		$32.34	$36.52	$96.67
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.24 / $133.94 / $170.07	Professional		$95.24	$133.94	$170.07