Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $1,513.56 / $5,495.41	Facility		$186.21	$1,513.56	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $275.42	Professional		$123.03	$181.97	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $186.21	Professional		$125.89	$125.89	$186.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $10,715.19 / $11,220.18	Facility		$5,011.87	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $251.19	Professional		$128.82	$151.36	$251.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $186.21 / $218.78	Facility		$128.82	$186.21	$218.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $190.55 / $223.87	Professional		$131.83	$190.55	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $223.87 / $251.19	Facility		$34.67	$223.87	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $257.04 / $1,096.48	Professional		$158.49	$257.04	$1,096.48
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 $141.25 / $199.53 / $338.84	Professional		$141.25	$199.53	$338.84