Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $912.01 / $3,890.45	Facility		$467.74	$912.01	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $537.03 / $954.99	Professional		$446.68	$537.03	$954.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $2,951.21	Facility		$1,258.93	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $741.31	Professional		$398.11	$489.78	$741.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $616.60 / $870.96	Facility		$446.68	$616.60	$870.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $724.44	Professional		$457.09	$602.56	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $851.14 / $1,318.26	Facility		$588.84	$851.14	$1,318.26
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $588.84 / $588.84 / $588.84	Facility	54	$588.84	$588.84	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $776.25 / $3,388.44	Professional		$512.86	$776.25	$3,388.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $323.59	Professional		$32.36	$33.11	$323.59
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 / $588.84 / $1,000.00	Professional		$436.52	$588.84	$1,000.00