Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $524.81 / $3,890.45	Facility		$302.00	$524.81	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $288.40 / $501.19	Professional		$229.09	$288.40	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $316.23	Professional		$181.97	$218.78	$316.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $302.00 / $398.11	Facility		$208.93	$302.00	$398.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $331.13 / $407.38	Professional		$269.15	$331.13	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $446.68 / $446.68	Facility		$34.67	$446.68	$446.68
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $316.23 / $316.23 / $316.23	Facility	54	$316.23	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $380.19 / $1,584.89	Professional		$251.19	$380.19	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $141.25	Professional		$32.36	$33.11	$141.25
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 $213.80 / $288.40 / $489.78	Professional		$213.80	$288.40	$489.78