Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $2,187.76 / $5,495.41	Facility		$251.19	$2,187.76	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $239.88 / $436.52	Professional		$128.82	$239.88	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $371.54	Professional		$181.97	$181.97	$371.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,398.83 / $4,365.16	Facility		$1,479.11	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $257.04	Professional		$112.20	$169.82	$257.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $141.25 / $199.53	Facility		$114.82	$141.25	$199.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $199.53	Professional		$109.65	$154.88	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $229.09 / $229.09	Facility		$34.67	$229.09	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $263.03 / $1,318.26	Professional		$138.04	$263.03	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
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 $128.82 / $223.87 / $354.81	Professional		$128.82	$223.87	$354.81