Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $169.82 / $4,073.80	Facility		$83.18	$169.82	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $104.71 / $194.98	Professional		$66.07	$104.71	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $144.54	Professional		$66.07	$91.20	$144.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $2,951.21	Facility		$1,348.96	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $57.54 / $93.33	Professional		$43.65	$57.54	$93.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $89.13 / $104.71	Facility		$69.18	$89.13	$104.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $131.83	Professional		$69.18	$97.72	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $1,318.26	Facility		$128.82	$128.82	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $93.33 / $457.09	Professional		$64.57	$93.33	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $138.04	Professional		$60.26	$77.62	$138.04