Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.54 / $400.00 / $3,740.00	Facility		$70.54	$400.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.02 / $82.62 / $137.66	Professional		$63.02	$82.62	$137.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.78 / $89.78 / $89.78	Professional		$89.78	$89.78	$89.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $64.23 / $92.99	Professional		$54.60	$64.23	$92.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.77 / $89.78 / $112.23	Facility		$61.77	$89.78	$112.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.54 / $90.42 / $148.72	Professional		$70.54	$90.42	$148.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $118.00 / $118.00	Facility		$118.00	$118.00	$118.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.66 / $117.13 / $173.34	Professional		$78.66	$117.13	$173.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $44.48 / $93.32	Professional		$32.34	$44.48	$93.32
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 $91.99 / $126.00 / $165.46	Professional		$91.99	$126.00	$165.46