Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.44 / $565.09 / $2,747.00	Facility		$242.44	$565.09	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.08 / $371.56 / $565.09	Professional		$255.08	$371.56	$565.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.05 / $130.05 / $130.05	Professional		$130.05	$130.05	$130.05
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 $184.59 / $231.71 / $439.58	Professional		$184.59	$231.71	$439.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $270.85 / $383.29 / $442.15	Facility		$270.85	$383.29	$442.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $267.62 / $386.03 / $632.63	Professional		$267.62	$386.03	$632.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.98 / $503.76 / $503.76	Facility		$478.98	$503.76	$503.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.24 / $488.61 / $863.02	Professional		$314.24	$488.61	$863.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $534.04	Professional		$32.34	$32.34	$534.04
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 $394.47 / $554.48 / $852.77	Professional		$394.47	$554.48	$852.77