Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,000.00 / $6,165.95	Facility		$562.34	$1,000.00	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $891.25	Professional		$426.58	$562.34	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $537.03 / $537.03	Professional		$446.68	$537.03	$537.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,398.83 / $4,365.16	Facility		$1,479.11	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $467.74 / $676.08	Professional		$371.54	$467.74	$676.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $575.44 / $676.08	Facility		$457.09	$575.44	$676.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $645.65 / $758.58	Professional		$457.09	$645.65	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $851.14 / $1,659.59	Facility		$707.95	$851.14	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $676.08 / $3,162.28	Professional		$457.09	$676.08	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,445.44 / $5,248.07	Facility		$524.81	$1,445.44	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $977.24	Professional		$436.52	$575.44	$977.24