Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.75 / $416.00 / $2,747.00	Facility		$187.75	$416.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.87 / $261.31 / $384.96	Professional		$171.87	$261.31	$384.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $390.67 / $390.67 / $390.67	Professional		$390.67	$390.67	$390.67
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 $150.05 / $204.01 / $313.45	Professional		$150.05	$204.01	$313.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $182.60 / $246.51 / $279.00	Facility		$182.60	$246.51	$279.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $228.25 / $306.95 / $446.48	Professional		$228.25	$306.95	$446.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.92 / $335.98 / $335.98	Facility		$243.92	$335.98	$335.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.39 / $293.11 / $521.14	Professional		$188.39	$293.11	$521.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $362.77	Professional		$32.34	$32.34	$362.77
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.82 / $299.35 / $477.50	Professional		$230.82	$299.35	$477.50