Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.54 / $273.05 / $283.16	Facility		$182.54	$273.05	$283.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.58 / $278.67 / $302.41	Professional		$234.58	$278.67	$302.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $451.55 / $451.55 / $451.55	Professional		$451.55	$451.55	$451.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.70 / $531.24 / $558.33	Facility		$330.70	$531.24	$558.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.47 / $274.67 / $308.99	Professional		$248.47	$274.67	$308.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.43 / $728.16 / $900.86	Facility		$398.43	$728.16	$900.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $504.68 / $664.05 / $876.55	Professional		$504.68	$664.05	$876.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.79 / $313.79 / $672.87	Facility		$313.79	$313.79	$672.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.07 / $313.79 / $2,820.18	Professional		$229.07	$313.79	$2,820.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $277.62 / $338.57 / $423.21	Professional		$277.62	$338.57	$423.21
United Facility/Professional Professional Modifier Low / Median / High Price $176.69 / $259.50 / $417.55	Professional		$176.69	$259.50	$417.55