Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $1,288.25 / $5,495.41	Facility		$234.42	$1,288.25	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $371.54	Professional		$128.82	$177.83	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $131.83 / $154.88	Professional		$85.11	$131.83	$154.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $4,365.16	Facility		$1,513.56	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $380.19	Professional		$181.97	$223.87	$380.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $173.78 / $229.09	Facility		$125.89	$173.78	$229.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $173.78 / $213.80	Professional		$117.49	$173.78	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $1,659.59	Facility		$239.88	$239.88	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $331.13 / $1,737.80	Professional		$173.78	$331.13	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $151.36	Professional		$32.36	$33.11	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,754.23 / $6,309.57	Facility		$602.56	$2,754.23	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $239.88 / $346.74	Professional		$131.83	$239.88	$346.74