Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,445.44 / $8,511.38	Facility		$812.83	$1,445.44	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,513.56	Professional		$691.83	$912.01	$1,513.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,148.15 / $2,187.76	Professional		$676.08	$1,148.15	$2,187.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,801.89 / $8,511.38	Facility		$2,089.30	$3,801.89	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $831.76 / $1,288.25	Professional		$707.95	$831.76	$1,288.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $933.25 / $1,096.48	Facility		$741.31	$933.25	$1,096.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $1,230.27	Professional		$741.31	$1,047.13	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $1,862.09	Facility		$1,122.02	$1,380.38	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $5,370.32	Professional		$776.25	$1,096.48	$5,370.32
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 $741.31 / $1,000.00 / $1,548.82	Professional		$741.31	$1,000.00	$1,548.82