Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.35 / $1,281.00 / $5,771.02	Facility		$419.35	$1,281.00	$5,771.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.25 / $540.21 / $1,004.81	Professional		$366.25	$540.21	$1,004.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $184.31 / $453.88 / $582.03	Professional		$184.31	$453.88	$582.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $4,010.00 / $8,517.00	Facility		$1,643.00	$4,010.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.70 / $348.64 / $558.37	Professional		$287.70	$348.64	$558.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $388.02 / $523.83 / $640.23	Facility		$388.02	$523.83	$640.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $485.03 / $640.23 / $825.59	Professional		$485.03	$640.23	$825.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.52 / $713.96 / $713.96	Facility		$371.52	$713.96	$713.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $71.40 / $71.40 / $71.40	Facility	AS	$71.40	$71.40	$71.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.89 / $640.50 / $1,124.93	Professional		$411.89	$640.50	$1,124.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $696.93	Professional		$32.34	$32.34	$696.93
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 $515.13 / $748.65 / $1,125.84	Professional		$515.13	$748.65	$1,125.84