Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.69 / $421.30 / $2,747.00	Facility		$262.69	$421.30	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.53 / $347.79 / $440.41	Professional		$239.53	$347.79	$440.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $187.96 / $187.96 / $362.66	Professional		$187.96	$187.96	$362.66
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 $256.47 / $310.79 / $473.78	Professional		$256.47	$310.79	$473.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $259.87 / $316.44 / $369.43	Facility		$259.87	$316.44	$369.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $278.97 / $407.65 / $751.82	Professional		$278.97	$407.65	$751.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.77 / $468.80 / $1,829.00	Facility		$328.77	$468.80	$1,829.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.30 / $412.50 / $744.48	Professional		$288.30	$412.50	$744.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $488.68	Professional		$32.34	$32.34	$488.68
United Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $668.00 / $1,895.00	Facility		$59.00	$668.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $342.60 / $425.11 / $706.46	Professional		$342.60	$425.11	$706.46