Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.43 / $612.00 / $2,747.00	Facility		$315.43	$612.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.17 / $404.73 / $599.01	Professional		$272.17	$404.73	$599.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $292.49 / $398.99 / $401.45	Professional		$292.49	$398.99	$401.45
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 $198.98 / $247.32 / $467.84	Professional		$198.98	$247.32	$467.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $283.61 / $401.45 / $463.11	Facility		$283.61	$401.45	$463.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $314.05 / $404.32 / $645.19	Professional		$314.05	$404.32	$645.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $447.71 / $527.62 / $527.62	Facility		$447.71	$527.62	$527.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.51 / $497.48 / $850.98	Professional		$335.51	$497.48	$850.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $537.99	Professional		$32.34	$32.34	$537.99
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 $396.78 / $549.12 / $862.89	Professional		$396.78	$549.12	$862.89