Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.07 / $557.00 / $5,320.00	Facility		$295.07	$557.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.66 / $383.32 / $523.02	Professional		$259.66	$383.32	$523.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $402.07 / $402.07 / $402.07	Professional		$402.07	$402.07	$402.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.33 / $368.83 / $580.44	Professional		$221.33	$368.83	$580.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $292.93 / $402.07 / $463.81	Facility		$292.93	$402.07	$463.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $316.67 / $459.50 / $802.29	Professional		$316.67	$459.50	$802.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.66 / $528.42 / $528.42	Facility		$305.66	$528.42	$528.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.60 / $473.32 / $841.45	Professional		$296.60	$473.32	$841.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $373.80 / $507.22 / $876.98	Professional		$373.80	$507.22	$876.98