Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,513.56 / $5,495.41	Facility		$263.03	$1,513.56	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $281.84 / $457.09	Professional		$190.55	$281.84	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $208.93 / $478.63	Professional		$194.98	$208.93	$478.63
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 $204.17 / $416.87 / $630.96	Professional		$204.17	$416.87	$630.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $281.84 / $331.13	Facility		$199.53	$281.84	$331.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $288.40 / $338.84	Professional		$229.09	$288.40	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $380.19 / $1,659.59	Facility		$245.47	$380.19	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $398.11 / $1,949.84	Professional		$229.09	$398.11	$1,949.84
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 $602.56 / $2,754.23 / $6,309.57	Facility		$602.56	$2,754.23	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $302.00 / $537.03	Professional		$194.98	$302.00	$537.03