Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,995.26 / $6,025.60	Facility		$489.78	$1,995.26	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $426.58 / $1,202.26	Professional		$295.12	$426.58	$1,202.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $389.05 / $630.96	Professional		$295.12	$389.05	$630.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,801.89 / $8,511.38	Facility		$2,290.87	$3,801.89	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $338.84 / $512.86	Professional		$275.42	$338.84	$512.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $436.52 / $562.34	Facility		$316.23	$436.52	$562.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $416.87 / $524.81	Professional		$316.23	$416.87	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $1,862.09	Facility		$588.84	$588.84	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $602.56 / $2,570.40	Professional		$371.54	$602.56	$2,570.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $223.87	Professional		$32.36	$33.11	$223.87
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 $288.40 / $416.87 / $645.65	Professional		$288.40	$416.87	$645.65