Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $1,513.56 / $8,511.38	Facility		$93.33	$1,513.56	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $158.49 / $380.19	Professional		$69.18	$158.49	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $69.18 / $70.79	Professional		$67.61	$69.18	$70.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $2,951.21	Facility		$1,348.96	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $125.89 / $181.97	Professional		$61.66	$125.89	$181.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $77.62 / $107.15	Facility		$63.10	$77.62	$107.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $83.18 / $107.15	Professional		$60.26	$83.18	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $123.03 / $123.03	Facility		$34.67	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $208.93 / $954.99	Professional		$79.43	$208.93	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $131.83	Professional		$32.36	$33.11	$131.83
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 $72.44 / $162.18 / $288.40	Professional		$72.44	$162.18	$288.40