Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.50 / $861.39 / $7,497.16	Facility		$478.50	$861.39	$7,497.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.00 / $557.91 / $913.83	Professional		$488.00	$557.91	$913.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $515.21 / $541.70 / $597.97	Professional		$515.21	$541.70	$597.97
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 $374.88 / $465.46 / $811.58	Professional		$374.88	$465.46	$811.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $524.53 / $743.51 / $857.70	Facility		$524.53	$743.51	$857.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $531.08 / $716.96 / $1,062.16	Professional		$531.08	$716.96	$1,062.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $651.29 / $651.29 / $848.20	Facility		$651.29	$651.29	$848.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $573.45 / $812.36 / $1,207.75	Professional		$573.45	$812.36	$1,207.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $690.40	Professional		$32.34	$32.34	$690.40
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 $560.94 / $751.34 / $1,182.01	Professional		$560.94	$751.34	$1,182.01