Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,000.00 / $3,890.45	Facility		$239.88	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $489.78	Professional		$199.53	$269.15	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $2,951.21	Facility		$1,348.96	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $295.12	Professional		$158.49	$194.98	$295.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $295.12 / $380.19	Facility		$181.97	$295.12	$380.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $346.74	Professional		$218.78	$288.40	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $389.05 / $1,318.26	Facility		$223.87	$389.05	$1,318.26
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	54	$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $331.13 / $1,412.54	Professional		$213.80	$331.13	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $416.87	Professional		$181.97	$245.47	$416.87