Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.73 / $417.85 / $2,747.00	Facility		$298.73	$417.85	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.73 / $376.37 / $508.10	Professional		$298.73	$376.37	$508.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $517.76 / $517.76 / $517.76	Professional		$517.76	$517.76	$517.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.40 / $308.20 / $463.90	Professional		$250.40	$308.20	$463.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $328.83 / $466.93 / $538.63	Facility		$328.83	$466.93	$538.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $361.51 / $466.93 / $739.66	Professional		$361.51	$466.93	$739.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $348.36 / $613.67 / $613.67	Facility		$348.36	$613.67	$613.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.45 / $480.98 / $706.10	Professional		$338.45	$480.98	$706.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $480.78	Professional		$32.34	$32.34	$480.78
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $327.02 / $458.19 / $707.21	Professional		$327.02	$458.19	$707.21