Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.20 / $601.41 / $5,320.00	Facility		$299.20	$601.41	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.20 / $542.47 / $763.68	Professional		$299.20	$542.47	$763.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $578.32 / $635.60 / $907.88	Professional		$578.32	$635.60	$907.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.56 / $447.84 / $730.07	Professional		$292.56	$447.84	$730.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $326.11 / $440.25 / $499.47	Facility		$326.11	$440.25	$499.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $407.64 / $665.78 / $968.40	Professional		$407.64	$665.78	$968.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $600.04 / $600.04 / $1,111.00	Facility		$600.04	$600.04	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.79 / $625.79 / $1,209.64	Professional		$336.79	$625.79	$1,209.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $786.83	Professional		$32.34	$32.34	$786.83
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $564.42 / $749.45 / $1,304.32	Professional		$564.42	$749.45	$1,304.32