Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.94 / $417.34 / $5,320.00	Facility		$265.94	$417.34	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.19 / $319.41 / $417.34	Professional		$241.19	$319.41	$417.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $489.47 / $489.47 / $489.47	Professional		$489.47	$489.47	$489.47
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 $229.60 / $315.52 / $436.81	Professional		$229.60	$315.52	$436.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $263.45 / $320.79 / $374.51	Facility		$263.45	$320.79	$374.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $283.08 / $374.51 / $699.24	Professional		$283.08	$374.51	$699.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.85 / $475.24 / $1,587.00	Facility		$265.85	$475.24	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.83 / $369.63 / $638.99	Professional		$261.83	$369.63	$638.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $454.51	Professional		$32.34	$32.34	$454.51
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $4,039.00	Facility		$523.00	$1,450.00	$4,039.00
United Facility/Professional Professional Modifier Low / Median / High Price $313.88 / $388.32 / $638.99	Professional		$313.88	$388.32	$638.99