Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,698.24 / $6,025.60	Facility		$162.18	$1,698.24	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $181.97 / $346.74	Professional		$112.20	$181.97	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $120.23 / $257.04	Professional		$69.18	$120.23	$257.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,073.80 / $9,549.93	Facility		$2,570.40	$4,073.80	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $229.09	Professional		$109.65	$144.54	$229.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $173.78 / $204.17	Facility		$134.90	$173.78	$204.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $194.98 / $275.42	Professional		$151.36	$194.98	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $251.19 / $1,318.26	Facility		$199.53	$251.19	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $1,122.02	Professional		$128.82	$204.17	$1,122.02
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 $389.05 / $954.99 / $3,388.44	Facility		$389.05	$954.99	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $295.12	Professional		$123.03	$169.82	$295.12