Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $398.11 / $3,801.89	Facility		$151.36	$398.11	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $398.11	Professional		$128.82	$199.53	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $269.15	Professional		$95.50	$134.90	$269.15
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 $125.89 / $165.96 / $251.19	Professional		$125.89	$165.96	$251.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $186.21 / $218.78	Facility		$144.54	$186.21	$218.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $323.59	Professional		$162.18	$239.88	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $1,318.26	Facility		$269.15	$269.15	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $245.47 / $1,148.15	Professional		$147.91	$245.47	$1,148.15
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 $138.04 / $204.17 / $331.13	Professional		$138.04	$204.17	$331.13