Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $851.14 / $5,495.41	Facility		$363.08	$851.14	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $691.83	Professional		$281.84	$380.19	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $380.19 / $446.68	Professional		$223.87	$380.19	$446.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $2,951.21	Facility		$1,258.93	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $263.03 / $389.05	Professional		$218.78	$263.03	$389.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $354.81 / $467.74	Facility		$245.47	$354.81	$467.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $478.63	Professional		$288.40	$389.05	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $524.81 / $524.81	Facility		$34.67	$524.81	$524.81
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $371.54 / $371.54 / $371.54	Facility	54	$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $489.78 / $2,041.74	Professional		$316.23	$489.78	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $141.25	Professional		$32.36	$33.11	$141.25
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 $263.03 / $363.08 / $616.60	Professional		$263.03	$363.08	$616.60