Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,949.84 / $9,120.11	Facility		$331.13	$1,949.84	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $338.84 / $707.95	Professional		$281.84	$338.84	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,073.80 / $9,549.93	Facility		$2,570.40	$4,073.80	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $691.83	Professional		$245.47	$302.00	$691.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $398.11 / $512.86	Facility		$288.40	$398.11	$512.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $489.78	Professional		$295.12	$398.11	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $2,290.87	Facility		$537.03	$537.03	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $537.03 / $3,715.35	Professional		$316.23	$537.03	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $186.21	Professional		$32.36	$33.11	$186.21
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 $263.03 / $363.08 / $602.56	Professional		$263.03	$363.08	$602.56