Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.90 / $1,007.37 / $2,747.00	Facility		$431.90	$1,007.37	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.90 / $503.96 / $887.57	Professional		$431.90	$503.96	$887.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $565.44 / $565.44 / $565.44	Professional		$565.44	$565.44	$565.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.89 / $489.14 / $800.55	Professional		$405.89	$489.14	$800.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $471.55 / $673.60 / $777.04	Facility		$471.55	$673.60	$777.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $481.14 / $649.54 / $962.28	Professional		$481.14	$649.54	$962.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $595.16 / $595.16 / $991.94	Facility		$595.16	$595.16	$991.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.28 / $700.56 / $1,063.98	Professional		$497.28	$700.56	$1,063.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $625.48	Professional		$32.34	$32.34	$625.48
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 $446.61 / $638.01 / $958.84	Professional		$446.61	$638.01	$958.84