Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.31 / $860.00 / $4,445.96	Facility		$282.31	$860.00	$4,445.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.31 / $328.92 / $571.46	Professional		$282.31	$328.92	$571.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $406.80 / $406.80 / $438.09	Professional		$406.80	$406.80	$438.09
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 $278.69 / $340.04 / $435.98	Professional		$278.69	$340.04	$435.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $305.38 / $438.09 / $505.36	Facility		$305.38	$438.09	$505.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $344.43 / $438.09 / $625.84	Professional		$344.43	$438.09	$625.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $385.74 / $385.74 / $385.74	Facility		$385.74	$385.74	$385.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.70 / $454.95 / $664.78	Professional		$319.70	$454.95	$664.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $406.80	Professional		$32.34	$32.34	$406.80
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $325.23 / $439.06 / $666.50	Professional		$325.23	$439.06	$666.50