Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.16 / $387.48 / $2,662.31	Facility		$232.16	$387.48	$2,662.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.74 / $335.92 / $580.45	Professional		$211.74	$335.92	$580.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $317.48 / $401.22 / $523.32	Professional		$317.48	$401.22	$523.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,353.00 / $8,517.00	Facility		$1,643.00	$3,353.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.73 / $267.45 / $420.91	Professional		$215.73	$267.45	$420.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $224.35 / $302.87 / $342.77	Facility		$224.35	$302.87	$342.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $280.44 / $383.77 / $558.21	Professional		$280.44	$383.77	$558.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.24 / $412.80 / $1,829.00	Facility		$272.24	$412.80	$1,829.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.20 / $377.31 / $694.46	Professional		$255.20	$377.31	$694.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $453.54	Professional		$32.34	$32.34	$453.54
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $312.24 / $411.78 / $635.79	Professional		$312.24	$411.78	$635.79