Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,089.30 / $7,244.36	Facility		$588.84	$2,089.30	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $602.56 / $1,380.38	Professional		$371.54	$602.56	$1,380.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $489.78 / $912.01	Professional		$251.19	$489.78	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,981.07 / $8,511.38	Facility		$2,344.23	$3,981.07	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $346.74 / $562.34	Professional		$288.40	$346.74	$562.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $501.19 / $660.69	Facility		$398.11	$501.19	$660.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $645.65 / $812.83	Professional		$489.78	$645.65	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,862.09	Facility		$707.95	$707.95	$1,862.09
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $851.14 / $851.14 / $851.14	Facility	22	$851.14	$851.14	$851.14
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $70.79 / $70.79 / $70.79	Facility	AS	$70.79	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $741.31 / $2,818.38	Professional		$436.52	$741.31	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $204.17	Professional		$32.36	$33.11	$204.17
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 $371.54 / $575.44 / $1,047.13	Professional		$371.54	$575.44	$1,047.13