Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.92 / $637.00 / $2,747.00	Facility		$220.92	$637.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.76 / $478.23 / $724.26	Professional		$251.76	$478.23	$724.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $232.30 / $249.59 / $297.72	Professional		$232.30	$249.59	$297.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.35 / $466.42 / $803.50	Professional		$337.35	$466.42	$803.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $235.07 / $336.49 / $388.17	Facility		$235.07	$336.49	$388.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $264.39 / $338.89 / $540.79	Professional		$264.39	$338.89	$540.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $442.24 / $442.24 / $846.44	Facility		$442.24	$442.24	$846.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.44 / $785.82 / $1,203.83	Professional		$383.44	$785.82	$1,203.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $219.22 / $373.60	Professional		$32.34	$219.22	$373.60
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 $589.16 / $840.45 / $1,310.78	Professional		$589.16	$840.45	$1,310.78