Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.11 / $557.00 / $5,934.25	Facility		$162.11	$557.00	$5,934.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.51 / $220.68 / $277.57	Professional		$151.51	$220.68	$277.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $184.21 / $184.21 / $184.21	Professional		$184.21	$184.21	$184.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.83 / $206.01 / $315.49	Professional		$136.83	$206.01	$315.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.85 / $206.32 / $237.99	Facility		$150.85	$206.32	$237.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $175.37 / $218.36 / $331.58	Professional		$175.37	$218.36	$331.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.79 / $271.16 / $271.16	Facility		$249.79	$271.16	$271.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.11 / $262.58 / $472.14	Professional		$168.11	$262.58	$472.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $214.17 / $315.41 / $454.13	Professional		$214.17	$315.41	$454.13