Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.35 / $557.00 / $5,320.00	Facility		$268.35	$557.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.35 / $502.49 / $716.67	Professional		$268.35	$502.49	$716.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $542.49 / $542.49 / $542.49	Professional		$542.49	$542.49	$542.49
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 $262.25 / $408.30 / $681.93	Professional		$262.25	$408.30	$681.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $292.87 / $395.37 / $448.88	Facility		$292.87	$395.37	$448.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $366.09 / $624.54 / $908.42	Professional		$366.09	$624.54	$908.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $538.88 / $538.88 / $1,111.00	Facility		$538.88	$538.88	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.66 / $570.96 / $1,102.83	Professional		$302.66	$570.96	$1,102.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $738.09	Professional		$32.34	$32.34	$738.09
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 $517.04 / $670.06 / $1,023.19	Professional		$517.04	$670.06	$1,023.19