Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $1,000.00 / $3,890.45	Facility		$128.82	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $263.03	Professional		$112.20	$141.25	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $162.18	Professional		$83.18	$102.33	$162.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $144.54 / $186.21	Facility		$114.82	$144.54	$186.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $190.55	Professional		$128.82	$158.49	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $213.80 / $213.80	Facility		$34.67	$213.80	$213.80
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $151.36 / $151.36 / $151.36	Facility	54	$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $891.25	Professional		$125.89	$194.98	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $58.88	Professional		$32.36	$33.11	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $251.19	Professional		$107.15	$147.91	$251.19