Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,630.27 / $8,128.31	Facility		$616.60	$2,630.27	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $977.24	Professional		$398.11	$524.81	$977.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $776.25	Professional		$398.11	$549.54	$776.25
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 $389.05 / $457.09 / $575.44	Professional		$389.05	$457.09	$575.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $562.34 / $660.69	Facility		$398.11	$562.34	$660.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $575.44 / $676.08	Professional		$371.54	$575.44	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $758.58 / $758.58	Facility		$34.67	$758.58	$758.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $75.86 / $75.86 / $75.86	Facility	AS	$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $724.44 / $2,137.96	Professional		$446.68	$724.44	$2,137.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
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 $389.05 / $562.34 / $870.96	Professional		$389.05	$562.34	$870.96