Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $870.96 / $2,818.38	Facility		$389.05	$870.96	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $741.31	Professional		$275.42	$426.58	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $457.09 / $549.54	Professional		$204.17	$457.09	$549.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,801.89 / $8,511.38	Facility		$1,949.84	$3,801.89	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $389.05 / $575.44	Professional		$331.13	$389.05	$575.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $380.19 / $446.68	Facility		$302.00	$380.19	$446.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $416.87 / $501.19	Professional		$302.00	$416.87	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $562.34 / $1,862.09	Facility		$549.54	$562.34	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $562.34 / $2,818.38	Professional		$346.74	$562.34	$2,818.38
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 $346.74 / $478.63 / $707.95	Professional		$346.74	$478.63	$707.95