Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.41 / $587.39 / $5,320.00	Facility		$336.41	$587.39	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.14 / $435.64 / $776.46	Professional		$280.14	$435.64	$776.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $428.16 / $428.16 / $428.16	Professional		$428.16	$428.16	$428.16
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 $242.33 / $299.85 / $486.46	Professional		$242.33	$299.85	$486.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $298.42 / $428.16 / $493.92	Facility		$298.42	$428.16	$493.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $336.81 / $442.26 / $688.12	Professional		$336.81	$442.26	$688.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $430.83 / $562.73 / $562.73	Facility		$430.83	$562.73	$562.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.93 / $516.17 / $890.46	Professional		$329.93	$516.17	$890.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $609.26	Professional		$32.34	$32.34	$609.26
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $416.91 / $584.52 / $910.75	Professional		$416.91	$584.52	$910.75