Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.80 / $5,054.96 / $10,519.97	Facility		$572.80	$5,054.96	$10,519.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $493.70 / $633.60 / $1,324.49	Professional		$493.70	$633.60	$1,324.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.48 / $512.62 / $781.11	Professional		$338.48	$512.62	$781.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,178.00 / $7,288.00 / $12,646.00	Facility		$2,178.00	$7,288.00	$12,646.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $513.77 / $622.57 / $867.90	Professional		$513.77	$622.57	$867.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $520.74 / $703.00 / $859.22	Facility		$520.74	$703.00	$859.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $520.74 / $676.96 / $833.18	Professional		$520.74	$676.96	$833.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.04 / $642.04 / $8,380.00	Facility		$642.04	$642.04	$8,380.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $63.83 / $63.83 / $63.83	Facility	AS	$63.83	$63.83	$63.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $559.82 / $864.76 / $1,194.30	Professional		$559.82	$864.76	$1,194.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $676.96	Professional		$32.34	$32.34	$676.96
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 $560.66 / $790.87 / $1,150.89	Professional		$560.66	$790.87	$1,150.89