Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.10 / $395.43 / $5,320.00	Facility		$263.10	$395.43	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.75 / $331.06 / $414.70	Professional		$271.75	$331.06	$414.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $182.05 / $182.05 / $182.05	Professional		$182.05	$182.05	$182.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $2,292.00 / $4,229.00	Facility		$1,359.00	$2,292.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.49 / $303.36 / $436.64	Professional		$241.49	$303.36	$436.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $299.52 / $364.71 / $425.79	Facility		$299.52	$364.71	$425.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $267.07 / $414.05 / $700.20	Professional		$267.07	$414.05	$700.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.01 / $540.32 / $1,587.00	Facility		$251.01	$540.32	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.06 / $371.70 / $652.27	Professional		$285.06	$371.70	$652.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $455.13	Professional		$32.34	$32.34	$455.13
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $1,945.00 / $5,995.00	Facility		$800.00	$1,945.00	$5,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $309.57 / $377.78 / $652.27	Professional		$309.57	$377.78	$652.27