Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.66 / $413.32 / $5,320.00	Facility		$347.66	$413.32	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.14 / $376.58 / $489.40	Professional		$325.14	$376.58	$489.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $349.60 / $349.60 / $349.60	Professional		$349.60	$349.60	$349.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,215.00 / $2,292.00 / $4,059.00	Facility		$1,215.00	$2,292.00	$4,059.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.53 / $287.69 / $469.03	Professional		$244.53	$287.69	$469.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $315.37 / $429.82 / $505.68	Facility		$315.37	$429.82	$505.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $293.00 / $442.47 / $689.42	Professional		$293.00	$442.47	$689.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.31 / $320.77 / $581.53	Facility		$265.31	$320.77	$581.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.31 / $406.02 / $1,637.06	Professional		$296.31	$406.02	$1,637.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $212.64	Professional		$32.34	$32.34	$212.64
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 $307.27 / $409.71 / $648.74	Professional		$307.27	$409.71	$648.74