Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $794.33 / $5,370.32	Facility		$275.42	$794.33	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $512.86	Professional		$194.98	$281.84	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $213.80 / $380.19	Professional		$194.98	$213.80	$380.19
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 $213.80 / $251.19 / $346.74	Professional		$213.80	$251.19	$346.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $263.03 / $309.03	Facility		$199.53	$263.03	$309.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $426.58	Professional		$208.93	$309.03	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $380.19 / $1,659.59	Facility		$363.08	$380.19	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $338.84 / $1,513.56	Professional		$213.80	$338.84	$1,513.56
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 $389.05 / $954.99 / $3,388.44	Facility		$389.05	$954.99	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $323.59 / $467.74	Professional		$218.78	$323.59	$467.74