Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.20 / $2,253.96 / $5,320.00	Facility		$232.20	$2,253.96	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.43 / $1,294.55 / $3,455.67	Professional		$204.43	$1,294.55	$3,455.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $291.88 / $291.88 / $2,267.86	Professional		$291.88	$291.88	$2,267.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.88 / $556.79 / $2,588.57	Professional		$175.88	$556.79	$2,588.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $229.01 / $314.33 / $362.60	Facility		$229.01	$314.33	$362.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $258.20 / $325.55 / $3,519.82	Professional		$258.20	$325.55	$3,519.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $413.12 / $413.12 / $413.12	Facility		$413.12	$413.12	$413.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.45 / $2,447.39 / $5,508.60	Professional		$257.45	$2,447.39	$5,508.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,015.63 / $4,431.10 / $6,422.25	Professional		$3,015.63	$4,431.10	$6,422.25