Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $549.54 / $5,495.41	Facility		$346.74	$549.54	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $616.60	Professional		$263.03	$323.59	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,398.83 / $4,365.16	Facility		$1,479.11	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $269.15 / $389.05	Professional		$223.87	$269.15	$389.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $346.74 / $446.68	Facility		$239.88	$346.74	$446.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $457.09	Professional		$309.03	$380.19	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $1,659.59	Facility		$512.86	$512.86	$1,659.59
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $363.08 / $363.08 / $363.08	Facility	54	$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $2,089.30	Professional		$302.00	$457.09	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $154.88	Professional		$32.36	$33.11	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $346.74 / $575.44	Professional		$251.19	$346.74	$575.44