Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.78 / $63.72 / $3,740.00	Facility		$48.78	$63.72	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.50 / $72.39 / $105.39	Professional		$48.50	$72.39	$105.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.16 / $46.16 / $47.15	Professional		$46.16	$46.16	$47.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.96 / $61.14 / $83.47	Professional		$51.96	$61.14	$83.47
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $77.95 / $91.71 / $125.20	Professional	50	$77.95	$91.71	$125.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.10 / $57.76 / $67.95	Facility		$36.10	$57.76	$67.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $59.46 / $92.32	Professional		$42.47	$59.46	$92.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.37 / $55.28 / $78.14	Facility		$25.37	$55.28	$78.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.72 / $85.47 / $216.71	Professional		$43.72	$85.47	$216.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $32.34 / $32.34	Professional		$19.60	$32.34	$32.34
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 $53.82 / $84.55 / $139.31	Professional		$53.82	$84.55	$139.31