Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,288.25 / $5,495.41	Facility		$229.09	$1,288.25	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $489.78	Professional		$154.88	$229.09	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $331.13	Professional		$165.96	$251.19	$331.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $4,365.16	Facility		$1,513.56	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $275.42	Professional		$138.04	$190.55	$275.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $208.93 / $245.47	Facility		$165.96	$208.93	$245.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $275.42	Professional		$151.36	$229.09	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $309.03 / $1,659.59	Facility		$288.40	$309.03	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $295.12 / $1,348.96	Professional		$190.55	$295.12	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,445.44 / $5,248.07	Facility		$524.81	$1,445.44	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $380.19	Professional		$162.18	$239.88	$380.19