Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.13 / $787.00 / $5,320.00	Facility		$326.13	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.38 / $465.56 / $683.60	Professional		$339.38	$465.56	$683.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $433.01 / $433.01 / $433.01	Professional		$433.01	$433.01	$433.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.70 / $384.44 / $668.96	Professional		$305.70	$384.44	$668.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $350.61 / $500.81 / $577.71	Facility		$350.61	$500.81	$577.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $393.19 / $504.39 / $804.87	Professional		$393.19	$504.39	$804.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $658.20 / $658.20 / $667.76	Facility		$658.20	$658.20	$667.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.52 / $625.58 / $1,056.02	Professional		$397.52	$625.58	$1,056.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $607.02	Professional		$32.34	$32.34	$607.02
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $453.19 / $644.32 / $981.12	Professional		$453.19	$644.32	$981.12