Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,288.25 / $5,495.41	Facility		$446.68	$1,288.25	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $489.78 / $1,288.25	Professional		$295.12	$489.78	$1,288.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
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 $269.15 / $323.59 / $524.81	Professional		$269.15	$323.59	$524.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $398.11 / $512.86	Facility		$302.00	$398.11	$512.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $478.63	Professional		$269.15	$398.11	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $1,659.59	Facility		$537.03	$537.03	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $602.56 / $2,511.89	Professional		$363.08	$602.56	$2,511.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $181.97	Professional		$32.36	$33.11	$181.97
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 $302.00 / $478.63 / $812.83	Professional		$302.00	$478.63	$812.83