Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $983.55 / $8,229.00	Facility		$612.00	$983.55	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $573.26 / $693.91 / $983.55	Professional		$573.26	$693.91	$983.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $697.30 / $697.30 / $726.41	Professional		$697.30	$697.30	$726.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,428.00 / $8,517.00	Facility		$1,643.00	$3,428.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $517.55 / $633.57 / $910.19	Professional		$517.55	$633.57	$910.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $608.79 / $821.87 / $928.89	Facility		$608.79	$821.87	$928.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $697.30 / $853.83 / $1,217.58	Professional		$697.30	$853.83	$1,217.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $547.15 / $1,120.17 / $1,829.00	Facility		$547.15	$1,120.17	$1,829.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $621.55 / $761.75 / $1,345.98	Professional		$621.55	$761.75	$1,345.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $906.49	Professional		$32.34	$32.34	$906.49
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 $632.29 / $799.55 / $1,345.98	Professional		$632.29	$799.55	$1,345.98