Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.85 / $236.91 / $3,380.80	Facility		$109.85	$236.91	$3,380.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $144.12 / $236.91	Professional		$103.54	$144.12	$236.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $149.79 / $149.79 / $149.79	Professional		$149.79	$149.79	$149.79
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 $88.55 / $104.18 / $152.81	Professional		$88.55	$104.18	$152.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.01 / $149.79 / $176.77	Facility		$103.01	$149.79	$176.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.69 / $155.13 / $279.33	Professional		$117.69	$155.13	$279.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.86 / $196.86 / $196.86	Facility		$196.86	$196.86	$196.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.15 / $198.44 / $302.68	Professional		$128.15	$198.44	$302.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $72.04 / $176.04	Professional		$32.34	$72.04	$176.04
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.29 / $218.37 / $295.98	Professional		$154.29	$218.37	$295.98