Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.07 / $860.00 / $8,193.53	Facility		$351.07	$860.00	$8,193.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.03 / $410.06 / $722.41	Professional		$352.03	$410.06	$722.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.04 / $69.04 / $69.04	Professional		$69.04	$69.04	$69.04
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 $346.14 / $422.22 / $547.74	Professional		$346.14	$422.22	$547.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $377.58 / $546.69 / $630.65	Facility		$377.58	$546.69	$630.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $381.70 / $527.16 / $780.98	Professional		$381.70	$527.16	$780.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $479.11 / $479.11 / $479.11	Facility		$479.11	$479.11	$479.11
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $47.57 / $47.57 / $47.57	Facility	AS	$47.57	$47.57	$47.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.36 / $564.10 / $826.11	Professional		$398.36	$564.10	$826.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $507.64	Professional		$32.34	$32.34	$507.64
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 $418.10 / $557.47 / $822.99	Professional		$418.10	$557.47	$822.99