Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $439.09 / $860.00 / $5,320.00	Facility		$439.09	$860.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $439.09 / $511.80 / $860.87	Professional		$439.09	$511.80	$860.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $232.40 / $232.40 / $675.18	Professional		$232.40	$232.40	$675.18
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 $378.32 / $461.96 / $738.31	Professional		$378.32	$461.96	$738.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $479.29 / $684.96 / $790.15	Facility		$479.29	$684.96	$790.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $489.26 / $660.50 / $978.52	Professional		$489.26	$660.50	$978.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $604.47 / $604.47 / $834.79	Facility		$604.47	$604.47	$834.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.66 / $691.10 / $1,091.50	Professional		$497.66	$691.10	$1,091.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $636.04	Professional		$32.34	$32.34	$636.04
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 $450.05 / $634.47 / $982.59	Professional		$450.05	$634.47	$982.59