Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.33 / $227.33 / $477.68	Facility		$227.33	$227.33	$477.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.36 / $231.88 / $236.42	Professional		$225.36	$231.88	$236.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $334.38 / $334.38 / $358.26	Professional		$334.38	$334.38	$358.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $377.37 / $427.52 / $477.68	Facility		$377.37	$427.52	$477.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.00 / $272.08 / $375.48	Professional		$233.00	$272.08	$375.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $358.26 / $525.45 / $683.00	Facility		$358.26	$525.45	$683.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $406.03 / $525.45 / $644.87	Professional		$406.03	$525.45	$644.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.77 / $293.77 / $477.68	Facility		$293.77	$293.77	$477.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.45 / $293.77 / $490.01	Professional		$214.45	$293.77	$490.01
United Facility/Professional Facility Modifier Low / Median / High Price $676.80 / $676.80 / $676.80	Facility		$676.80	$676.80	$676.80
United Facility/Professional Professional Modifier Low / Median / High Price $140.69 / $238.31 / $325.19	Professional		$140.69	$238.31	$325.19