Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $1,288.25 / $5,495.41	Facility		$208.93	$1,288.25	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $354.81	Professional		$147.91	$213.80	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,398.83 / $4,365.16	Facility		$1,479.11	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $234.42	Professional		$123.03	$165.96	$234.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $204.17 / $239.88	Facility		$158.49	$204.17	$239.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $269.15	Professional		$147.91	$223.87	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $302.00 / $1,659.59	Facility		$251.19	$302.00	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $269.15 / $1,230.27	Professional		$181.97	$269.15	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,949.84 / $6,309.57	Facility		$602.56	$1,949.84	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $354.81	Professional		$154.88	$213.80	$354.81