Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $2,630.27 / $8,128.31	Facility		$426.58	$2,630.27	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $512.86 / $1,621.81	Professional		$354.81	$512.86	$1,621.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $478.63 / $575.44	Professional		$257.04	$478.63	$575.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $4,365.16	Facility		$1,513.56	$2,454.71	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $426.58 / $524.81	Professional		$346.74	$426.58	$524.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $512.86 / $660.69	Facility		$363.08	$512.86	$660.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $512.86 / $616.60	Professional		$380.19	$512.86	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $691.83 / $691.83	Facility		$34.67	$691.83	$691.83
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $69.18 / $69.18 / $69.18	Facility	AS	$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $707.95 / $1,995.26	Professional		$416.87	$707.95	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $302.00	Professional		$32.36	$33.11	$302.00
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 $354.81 / $489.78 / $794.33	Professional		$354.81	$489.78	$794.33