Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,513.56 / $5,495.41	Facility		$537.03	$1,513.56	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $616.60 / $1,148.15	Professional		$309.03	$616.60	$1,148.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $758.58 / $1,288.25	Professional		$398.11	$758.58	$1,288.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $489.78 / $707.95	Professional		$302.00	$489.78	$707.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $416.87 / $489.78	Facility		$323.59	$416.87	$489.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $645.65 / $851.14	Professional		$371.54	$645.65	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $602.56 / $758.58	Facility		$34.67	$602.56	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $660.69 / $3,311.31	Professional		$338.84	$660.69	$3,311.31
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 $331.13 / $562.34 / $912.01	Professional		$331.13	$562.34	$912.01