Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.63 / $565.91 / $5,320.00	Facility		$340.63	$565.91	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.00 / $485.70 / $779.57	Professional		$298.00	$485.70	$779.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $292.23 / $427.33 / $464.49	Professional		$292.23	$427.33	$464.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.23 / $269.30 / $486.67	Professional		$222.23	$269.30	$486.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $304.27 / $433.52 / $500.10	Facility		$304.27	$433.52	$500.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $341.03 / $436.62 / $702.87	Professional		$341.03	$436.62	$702.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.40 / $569.77 / $569.77	Facility		$500.40	$569.77	$569.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.76 / $586.28 / $971.92	Professional		$362.76	$586.28	$971.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $631.94	Professional		$32.34	$32.34	$631.94
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $494.94 / $708.82 / $1,044.08	Professional		$494.94	$708.82	$1,044.08