Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,737.80 / $8,511.38	Facility		$316.23	$1,737.80	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $331.13 / $1,122.02	Professional		$204.17	$331.13	$1,122.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $446.68 / $2,630.27	Professional		$117.49	$446.68	$2,630.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,011.87 / $10,964.78	Facility		$2,754.23	$5,011.87	$10,964.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $288.40	Professional		$169.82	$208.93	$288.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $223.87 / $316.23	Facility		$181.97	$223.87	$316.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $316.23	Professional		$177.83	$245.47	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $2,290.87	Facility		$363.08	$363.08	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $288.40 / $1,202.26	Professional		$204.17	$288.40	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $204.17	Professional		$32.36	$33.11	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,698.24 / $6,309.57	Facility		$575.44	$1,698.24	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $380.19	Professional		$181.97	$245.47	$380.19