Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,288.25 / $5,495.41	Facility		$199.53	$1,288.25	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $426.58	Professional		$199.53	$263.03	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $177.83 / $549.54	Professional		$173.78	$177.83	$549.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $4,365.16	Facility		$1,513.56	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $245.47 / $323.59	Professional		$162.18	$245.47	$323.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $251.19 / $302.00	Facility		$181.97	$251.19	$302.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $309.03	Professional		$186.21	$257.04	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $1,659.59	Facility		$338.84	$338.84	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $346.74 / $1,380.38	Professional		$218.78	$346.74	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,754.23 / $6,309.57	Facility		$602.56	$2,754.23	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $436.52	Professional		$194.98	$295.12	$436.52