Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $868.56 / $5,320.00	Facility		$557.00	$868.56	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.21 / $663.55 / $969.00	Professional		$538.21	$663.55	$969.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $688.54 / $688.54 / $688.54	Professional		$688.54	$688.54	$688.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $2,292.00 / $4,229.00	Facility		$1,359.00	$2,292.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $508.57 / $612.41 / $831.83	Professional		$508.57	$612.41	$831.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $571.66 / $771.74 / $873.42	Facility		$571.66	$771.74	$873.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $688.54 / $806.04 / $1,143.32	Professional		$688.54	$806.04	$1,143.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $495.55 / $1,051.84 / $1,587.00	Facility		$495.55	$1,051.84	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $583.34 / $745.60 / $1,314.65	Professional		$583.34	$745.60	$1,314.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $895.10	Professional		$32.34	$32.34	$895.10
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $4,039.00	Facility		$523.00	$1,450.00	$4,039.00
United Facility/Professional Professional Modifier Low / Median / High Price $622.47 / $778.09 / $1,262.45	Professional		$622.47	$778.09	$1,262.45