Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.20 / $1,758.00 / $8,032.26	Facility		$415.20	$1,758.00	$8,032.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.32 / $436.57 / $790.48	Professional		$378.32	$436.57	$790.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $277.77 / $277.77 / $277.77	Professional		$277.77	$277.77	$277.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.20 / $454.74 / $582.94	Professional		$372.20	$454.74	$582.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $400.65 / $581.10 / $670.34	Facility		$400.65	$581.10	$670.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $405.73 / $581.10 / $830.14	Professional		$405.73	$581.10	$830.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $509.09 / $509.09 / $509.09	Facility		$509.09	$509.09	$509.09
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $50.56 / $50.56 / $50.56	Facility	AS	$50.56	$50.56	$50.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.24 / $606.79 / $880.50	Professional		$424.24	$606.79	$880.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $539.59	Professional		$32.34	$32.34	$539.59
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 $433.46 / $563.92 / $880.30	Professional		$433.46	$563.92	$880.30