Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.08 / $787.00 / $6,257.03	Facility		$339.08	$787.00	$6,257.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.82 / $395.73 / $698.43	Professional		$340.82	$395.73	$698.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $348.51 / $348.51 / $348.51	Professional		$348.51	$348.51	$348.51
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 $336.03 / $409.57 / $531.03	Professional		$336.03	$409.57	$531.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $364.74 / $527.51 / $608.51	Facility		$364.74	$527.51	$608.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $414.47 / $527.51 / $753.58	Professional		$414.47	$527.51	$753.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $462.38 / $462.38 / $462.38	Facility		$462.38	$462.38	$462.38
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $45.93 / $45.93 / $45.93	Facility	AS	$45.93	$45.93	$45.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.54 / $546.97 / $798.76	Professional		$384.54	$546.97	$798.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $489.83	Professional		$32.34	$32.34	$489.83
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $5,995.00	Facility		$599.00	$2,723.00	$5,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $393.61 / $542.98 / $799.27	Professional		$393.61	$542.98	$799.27