Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $547.36 / $607.57 / $2,075.77	Facility		$547.36	$607.57	$2,075.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.45 / $577.57 / $660.19	Professional		$529.45	$577.57	$660.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $500.00	Professional		$500.00	$500.00	$500.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.00 / $605.09 / $678.39	Professional		$218.00	$605.09	$678.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $549.91 / $748.77 / $889.16	Facility		$549.91	$748.77	$889.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $605.95 / $770.78 / $1,101.11	Professional		$605.95	$770.78	$1,101.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.58 / $691.58 / $691.58	Facility		$691.58	$691.58	$691.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.71 / $762.87 / $2,892.14	Professional		$558.71	$762.87	$2,892.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $45.00 / $67.59	Professional		$35.10	$45.00	$67.59
United Facility/Professional Facility Modifier Low / Median / High Price $661.12 / $661.12 / $661.12	Facility		$661.12	$661.12	$661.12
United Facility/Professional Professional Modifier Low / Median / High Price $498.24 / $781.25 / $1,281.25	Professional		$498.24	$781.25	$1,281.25