Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $851.14 / $5,495.41	Facility		$147.91	$851.14	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $302.00	Professional		$128.82	$199.53	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $138.04	Professional		$107.15	$107.15	$138.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $269.15	Professional		$128.82	$158.49	$269.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $173.78 / $204.17	Facility		$141.25	$173.78	$204.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $234.42	Professional		$141.25	$199.53	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $263.03 / $1,318.26	Facility		$251.19	$263.03	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $229.09 / $1,258.93	Professional		$144.54	$229.09	$1,258.93
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 $138.04 / $199.53 / $323.59	Professional		$138.04	$199.53	$323.59