Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.70 / $410.71 / $427.14	Facility		$313.70	$410.71	$427.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.69 / $428.32 / $479.91	Professional		$366.69	$428.32	$479.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $674.99 / $674.99 / $674.99	Professional		$674.99	$674.99	$674.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.22 / $863.00 / $907.01	Facility		$537.22	$863.00	$907.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.64 / $518.34 / $520.50	Professional		$403.64	$518.34	$520.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $647.25 / $1,216.83 / $1,439.98	Facility		$647.25	$1,216.83	$1,439.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $819.85 / $1,078.75 / $1,423.95	Professional		$819.85	$1,078.75	$1,423.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.20 / $582.20 / $1,099.24	Facility		$582.20	$582.20	$1,099.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.01 / $582.20 / $4,607.25	Professional		$425.01	$582.20	$4,607.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $451.00 / $550.01 / $687.51	Professional		$451.00	$550.01	$687.51
United Facility/Professional Facility Modifier Low / Median / High Price $500.36 / $500.36 / $500.36	Facility		$500.36	$500.36	$500.36
United Facility/Professional Professional Modifier Low / Median / High Price $287.02 / $430.54 / $663.45	Professional		$287.02	$430.54	$663.45