Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.55 / $876.42 / $5,106.29	Facility		$332.55	$876.42	$5,106.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.00 / $499.77 / $779.88	Professional		$285.00	$499.77	$779.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $278.48 / $334.18 / $756.83	Professional		$278.48	$334.18	$756.83
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 $247.21 / $301.05 / $506.30	Professional		$247.21	$301.05	$506.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $289.68 / $411.75 / $474.98	Facility		$289.68	$411.75	$474.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $294.11 / $421.25 / $785.29	Professional		$294.11	$421.25	$785.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $473.64 / $541.16 / $541.16	Facility		$473.64	$541.16	$541.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.66 / $590.27 / $1,032.69	Professional		$325.66	$590.27	$1,032.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $698.02	Professional		$32.34	$32.34	$698.02
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $4,039.00	Facility		$523.00	$1,450.00	$4,039.00
United Facility/Professional Professional Modifier Low / Median / High Price $501.86 / $730.76 / $1,030.83	Professional		$501.86	$730.76	$1,030.83