Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,513.56 / $5,495.41	Facility		$436.52	$1,513.56	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $512.86 / $1,584.89	Professional		$302.00	$512.86	$1,584.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $457.09 / $707.95	Professional		$158.49	$457.09	$707.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,398.83 / $4,365.16	Facility		$1,479.11	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $562.34	Professional		$251.19	$302.00	$562.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $416.87 / $537.03	Facility		$295.12	$416.87	$537.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $416.87 / $501.19	Professional		$338.84	$416.87	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $562.34 / $1,659.59	Facility		$512.86	$562.34	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $616.60 / $2,754.23	Professional		$354.81	$616.60	$2,754.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $177.83	Professional		$32.36	$33.11	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,445.44 / $5,248.07	Facility		$524.81	$1,445.44	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $851.14	Professional		$309.03	$478.63	$851.14