Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $527.34 / $913.63 / $7,909.08	Facility		$527.34	$913.63	$7,909.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.31 / $686.27 / $1,224.21	Professional		$465.31	$686.27	$1,224.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $623.22 / $623.22 / $623.22	Professional		$623.22	$623.22	$623.22
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 $362.12 / $464.35 / $824.55	Professional		$362.12	$464.35	$824.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $474.07 / $671.16 / $774.23	Facility		$474.07	$671.16	$774.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $468.61 / $682.88 / $1,201.34	Professional		$468.61	$682.88	$1,201.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $882.10 / $882.10 / $899.63	Facility		$882.10	$882.10	$899.63
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $88.21 / $88.21 / $88.21	Facility	AS	$88.21	$88.21	$88.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $587.85 / $888.64 / $1,456.63	Professional		$587.85	$888.64	$1,456.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,014.13	Professional		$32.34	$32.34	$1,014.13
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $726.57 / $1,069.60 / $1,671.20	Professional		$726.57	$1,069.60	$1,671.20