Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.98 / $540.17 / $2,747.00	Facility		$316.98	$540.17	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.94 / $423.31 / $582.74	Professional		$278.94	$423.31	$582.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $260.07 / $260.07 / $260.07	Professional		$260.07	$260.07	$260.07
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 $320.86 / $388.81 / $577.79	Professional		$320.86	$388.81	$577.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $312.64 / $380.69 / $444.45	Facility		$312.64	$380.69	$444.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $299.62 / $439.33 / $883.10	Professional		$299.62	$439.33	$883.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.50 / $564.00 / $1,829.00	Facility		$451.50	$564.00	$1,829.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.50 / $517.96 / $913.07	Professional		$352.50	$517.96	$913.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $574.02	Professional		$32.34	$32.34	$574.02
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 $440.51 / $537.07 / $847.79	Professional		$440.51	$537.07	$847.79