Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.73 / $1,495.25 / $7,627.39	Facility		$305.73	$1,495.25	$7,627.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.00 / $498.19 / $950.10	Professional		$264.00	$498.19	$950.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.61 / $257.66 / $498.33	Professional		$128.61	$257.66	$498.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,565.00 / $5,080.00	Facility		$1,258.00	$2,565.00	$5,080.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.57 / $283.73 / $487.70	Professional		$226.57	$283.73	$487.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $271.22 / $366.15 / $447.51	Facility		$271.22	$366.15	$447.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $352.59 / $603.24 / $789.45	Professional		$352.59	$603.24	$789.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.13 / $499.04 / $499.04	Facility		$444.13	$499.04	$499.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.32 / $566.00 / $1,022.60	Professional		$295.32	$566.00	$1,022.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $666.42	Professional		$32.34	$32.34	$666.42
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,913.00 / $5,301.00	Facility		$523.00	$1,913.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $505.80 / $718.24 / $1,020.37	Professional		$505.80	$718.24	$1,020.37