Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $691.83 / $3,162.28	Facility		$354.81	$691.83	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $426.58 / $758.58	Professional		$251.19	$426.58	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $537.03	Professional		$194.98	$245.47	$537.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,801.89 / $8,511.38	Facility		$1,995.26	$3,801.89	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $398.11 / $575.44	Professional		$323.59	$398.11	$575.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $354.81 / $416.87	Facility		$275.42	$354.81	$416.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $616.60	Professional		$316.23	$457.09	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $1,862.09	Facility		$512.86	$512.86	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $562.34 / $2,454.71	Professional		$316.23	$562.34	$2,454.71
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 $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $489.78 / $724.44	Professional		$316.23	$489.78	$724.44