Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.08 / $1,354.00 / $3,752.67	Facility		$353.08	$1,354.00	$3,752.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.52 / $337.40 / $600.11	Professional		$287.52	$337.40	$600.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.49 / $304.93 / $449.37	Professional		$160.49	$304.93	$449.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.89 / $336.74 / $499.51	Professional		$277.89	$336.74	$499.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $317.14 / $449.37 / $518.38	Facility		$317.14	$449.37	$518.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $313.76 / $449.37 / $641.96	Professional		$313.76	$449.37	$641.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.37 / $401.37 / $470.78	Facility		$401.37	$401.37	$470.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.23 / $483.23 / $690.81	Professional		$327.23	$483.23	$690.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $417.27	Professional		$32.34	$32.34	$417.27
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $322.20 / $459.15 / $644.16	Professional		$322.20	$459.15	$644.16