Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,445.44 / $4,466.84	Facility		$263.03	$1,445.44	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $316.23 / $741.31	Professional		$151.36	$316.23	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $151.36 / $199.53	Professional		$74.13	$151.36	$199.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,884.03 / $5,495.41	Facility		$1,698.24	$2,884.03	$5,495.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $190.55 / $416.87	Professional		$162.18	$190.55	$416.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $194.98 / $251.19	Facility		$151.36	$194.98	$251.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $426.58 / $562.34	Professional		$213.80	$426.58	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $1,659.59	Facility		$281.84	$281.84	$1,659.59
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $223.87 / $223.87 / $223.87	Facility	52	$223.87	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $354.81 / $1,905.46	Professional		$173.78	$354.81	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $457.09	Professional		$32.36	$33.11	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,348.96 / $5,248.07	Facility		$524.81	$1,348.96	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $281.84 / $537.03	Professional		$162.18	$281.84	$537.03