Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,288.25 / $5,495.41	Facility		$478.63	$1,288.25	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $1,202.26	Professional		$331.13	$501.19	$1,202.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $467.74 / $588.84	Professional		$426.58	$467.74	$588.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,398.83 / $4,365.16	Facility		$1,479.11	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $331.13 / $512.86	Professional		$269.15	$331.13	$512.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $457.09 / $588.84	Facility		$331.13	$457.09	$588.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $457.09 / $562.34	Professional		$309.03	$457.09	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $1,659.59	Facility		$616.60	$616.60	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $645.65 / $2,344.23	Professional		$371.54	$645.65	$2,344.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $288.40	Professional		$32.36	$33.11	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,445.44 / $5,248.07	Facility		$524.81	$1,445.44	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $489.78 / $831.76	Professional		$346.74	$489.78	$831.76