Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.89 / $663.11 / $8,229.00	Facility		$265.89	$663.11	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.11 / $332.02 / $484.59	Professional		$236.11	$332.02	$484.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.50 / $229.50 / $331.43	Professional		$229.50	$229.50	$331.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.47 / $211.41 / $400.41	Professional		$168.47	$211.41	$400.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $239.29 / $338.42 / $390.39	Facility		$239.29	$338.42	$390.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $241.73 / $339.03 / $543.89	Professional		$241.73	$339.03	$543.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.45 / $444.78 / $444.78	Facility		$376.45	$444.78	$444.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.16 / $404.56 / $745.12	Professional		$284.16	$404.56	$745.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $441.48	Professional		$32.34	$32.34	$441.48
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $314.74 / $441.78 / $740.94	Professional		$314.74	$441.78	$740.94