Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.48 / $129.40 / $287.60	Facility		$82.48	$129.40	$287.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.40 / $118.36 / $162.66	Professional		$92.40	$118.36	$162.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.56 / $114.56 / $154.91	Professional		$114.56	$114.56	$154.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.90 / $110.08 / $156.80	Professional		$90.90	$110.08	$156.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.98 / $122.82 / $150.12	Facility		$90.98	$122.82	$150.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.99 / $141.55 / $181.96	Professional		$114.99	$141.55	$181.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.16 / $167.40 / $167.40	Facility		$153.16	$167.40	$167.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.54 / $167.49 / $264.14	Professional		$119.54	$167.49	$264.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $152.93	Professional		$32.34	$32.34	$152.93
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.51 / $178.17 / $267.20	Professional		$128.51	$178.17	$267.20