Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $2,290.87 / $7,943.28	Facility		$245.47	$2,290.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $416.87 / $1,258.93	Professional		$144.54	$416.87	$1,258.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $186.21 / $891.25	Professional		$151.36	$186.21	$891.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,454.71 / $4,365.16	Facility		$1,584.89	$2,454.71	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $426.58 / $691.83	Professional		$144.54	$426.58	$691.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $204.17 / $275.42	Facility		$147.91	$204.17	$275.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $457.09 / $616.60	Professional		$181.97	$457.09	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $275.42 / $275.42	Facility		$34.67	$275.42	$275.42
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $54.95 / $54.95 / $54.95	Facility	53	$54.95	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $741.31 / $2,754.23	Professional		$199.53	$741.31	$2,754.23
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 $524.81 / $1,445.44 / $5,248.07	Facility		$524.81	$1,445.44	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $478.63 / $1,000.00	Professional		$154.88	$478.63	$1,000.00