Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.87 / $439.10 / $5,955.91	Facility		$122.87	$439.10	$5,955.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.31 / $188.88 / $312.63	Professional		$114.31	$188.88	$312.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $156.38 / $156.38 / $156.38	Professional		$156.38	$156.38	$156.38
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 $82.91 / $139.96 / $248.88	Professional		$82.91	$139.96	$248.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $113.94 / $156.38 / $180.41	Facility		$113.94	$156.38	$180.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.70 / $161.97 / $319.27	Professional		$111.70	$161.97	$319.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.53 / $205.53 / $205.53	Facility		$205.53	$205.53	$205.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.03 / $202.12 / $372.80	Professional		$118.03	$202.12	$372.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $240.52	Professional		$32.34	$32.34	$240.52
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $794.00 / $5,301.00	Facility		$523.00	$794.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $181.74 / $234.40 / $436.83	Professional		$181.74	$234.40	$436.83