Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $884.58 / $1,333.55 / $10,152.00	Facility		$884.58	$1,333.55	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $783.04 / $913.41 / $1,266.33	Professional		$783.04	$913.41	$1,266.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $423.98 / $423.98 / $423.98	Professional		$423.98	$423.98	$423.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,334.00 / $11,433.00	Facility		$2,320.00	$4,334.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $742.66 / $899.93 / $1,261.81	Professional		$742.66	$899.93	$1,261.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $864.92 / $1,187.16 / $1,369.46	Facility		$864.92	$1,187.16	$1,369.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $828.89 / $1,187.16 / $1,695.94	Professional		$828.89	$1,187.16	$1,695.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,043.05 / $1,043.05 / $1,043.05	Facility		$1,043.05	$1,043.05	$1,043.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $866.81 / $1,142.67 / $1,701.06	Professional		$866.81	$1,142.67	$1,701.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $932.77	Professional		$32.34	$32.34	$932.77
United Facility/Professional Facility Modifier Low / Median / High Price $719.00 / $1,298.00 / $10,113.00	Facility		$719.00	$1,298.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $824.61 / $1,129.88 / $1,797.24	Professional		$824.61	$1,129.88	$1,797.24