Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $537.03 / $3,801.89	Facility		$281.84	$537.03	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $537.03	Professional		$234.42	$302.00	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
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 $194.98 / $239.88 / $338.84	Professional		$194.98	$239.88	$338.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $309.03 / $407.38	Facility		$213.80	$309.03	$407.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $338.84 / $416.87	Professional		$275.42	$338.84	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $467.74 / $1,318.26	Facility		$295.12	$467.74	$1,318.26
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $323.59 / $323.59 / $323.59	Facility	54	$323.59	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $416.87 / $1,659.59	Professional		$263.03	$416.87	$1,659.59
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 $229.09 / $302.00 / $512.86	Professional		$229.09	$302.00	$512.86