Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.28 / $1,228.32 / $5,634.00	Facility		$50.28	$1,228.32	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.28 / $1,042.08 / $1,474.93	Professional		$50.28	$1,042.08	$1,474.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,124.10 / $1,124.10 / $1,686.17	Professional		$1,124.10	$1,124.10	$1,686.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.00 / $5,790.87 / $8,240.00	Facility		$970.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.96 / $54.08 / $80.68	Professional		$45.96	$54.08	$80.68
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $68.95 / $81.12 / $121.02	Professional	50	$68.95	$81.12	$121.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.32 / $53.99 / $96.77	Facility		$40.32	$53.99	$96.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,124.10 / $1,348.93 / $2,023.40	Professional		$1,124.10	$1,348.93	$2,023.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.09 / $450.00 / $565.00	Facility		$74.09	$450.00	$565.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.55 / $1,003.82 / $1,856.67	Professional		$56.55	$1,003.82	$1,856.67
United Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $3,817.00 / $5,490.00	Facility		$629.00	$3,817.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,220.91 / $1,508.19 / $2,729.10	Professional		$1,220.91	$1,508.19	$2,729.10