Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $1,000.00 / $3,890.45	Facility		$147.91	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $162.18 / $302.00	Professional		$131.83	$162.18	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
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 $97.72 / $117.49 / $186.21	Professional		$97.72	$117.49	$186.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $165.96 / $213.80	Facility		$131.83	$165.96	$213.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $173.78 / $213.80	Professional		$134.90	$173.78	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $245.47 / $245.47	Facility		$34.67	$245.47	$245.47
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $173.78 / $173.78 / $173.78	Facility	54	$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $1,000.00	Professional		$147.91	$223.87	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
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 $125.89 / $169.82 / $288.40	Professional		$125.89	$169.82	$288.40