Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $851.14 / $5,495.41	Facility		$281.84	$851.14	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $457.09	Professional		$190.55	$275.42	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $512.86	Professional		$295.12	$295.12	$512.86
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 $190.55 / $239.88 / $371.54	Professional		$190.55	$239.88	$371.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $257.04 / $302.00	Facility		$204.17	$257.04	$302.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $295.12 / $346.74	Professional		$208.93	$295.12	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $1,318.26	Facility		$380.19	$380.19	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $331.13 / $1,698.24	Professional		$213.80	$331.13	$1,698.24
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 $389.05 / $954.99 / $3,388.44	Facility		$389.05	$954.99	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $467.74	Professional		$199.53	$275.42	$467.74