Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $741.31 / $5,248.07	Facility		$295.12	$741.31	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $281.84 / $467.74	Professional		$186.21	$281.84	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $208.93 / $446.68	Professional		$190.55	$208.93	$446.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $2,951.21	Facility		$1,348.96	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $363.08	Professional		$194.98	$245.47	$363.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $251.19 / $295.12	Facility		$194.98	$251.19	$295.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $331.13	Professional		$204.17	$281.84	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $371.54 / $1,659.59	Facility		$363.08	$371.54	$1,659.59
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $37.15 / $37.15 / $37.15	Facility	AS	$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $331.13 / $1,584.89	Professional		$208.93	$331.13	$1,584.89
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 $524.81 / $1,445.44 / $5,248.07	Facility		$524.81	$1,445.44	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $295.12 / $478.63	Professional		$199.53	$295.12	$478.63