Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $2,089.30 / $9,332.54	Facility		$223.87	$2,089.30	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $630.96 / $1,288.25	Professional		$154.88	$630.96	$1,288.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $1,659.59	Professional		$165.96	$223.87	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $4,365.16	Facility		$1,513.56	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $645.65 / $1,047.13	Professional		$158.49	$645.65	$1,047.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $223.87 / $269.15	Facility		$162.18	$223.87	$269.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $275.42	Professional		$151.36	$229.09	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $302.00 / $302.00	Facility		$34.67	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $1,096.48 / $4,073.80	Professional		$218.78	$1,096.48	$4,073.80
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 $169.82 / $660.69 / $1,479.11	Professional		$169.82	$660.69	$1,479.11