Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $787.00 / $5,320.00	Facility		$557.00	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.46 / $659.38 / $957.35	Professional		$526.46	$659.38	$957.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $661.42 / $661.42 / $661.42	Professional		$661.42	$661.42	$661.42
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 $497.64 / $603.03 / $861.94	Professional		$497.64	$603.03	$861.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $568.04 / $691.68 / $807.52	Facility		$568.04	$691.68	$807.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $611.52 / $796.06 / $1,384.46	Professional		$611.52	$796.06	$1,384.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.71 / $1,024.71 / $1,587.00	Facility		$506.71	$1,024.71	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.88 / $733.76 / $1,309.33	Professional		$561.88	$733.76	$1,309.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $899.90	Professional		$32.34	$32.34	$899.90
United Facility/Professional Facility Modifier Low / Median / High Price $590.00 / $1,450.00 / $4,039.00	Facility		$590.00	$1,450.00	$4,039.00
United Facility/Professional Professional Modifier Low / Median / High Price $611.59 / $788.28 / $1,309.33	Professional		$611.59	$788.28	$1,309.33