Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.87 / $699.49 / $2,747.00	Facility		$423.87	$699.49	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.06 / $577.20 / $846.74	Professional		$428.06	$577.20	$846.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $462.74 / $638.57 / $778.39	Professional		$462.74	$638.57	$778.39
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 $390.90 / $489.26 / $798.58	Professional		$390.90	$489.26	$798.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $459.23 / $660.45 / $761.88	Facility		$459.23	$660.45	$761.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $518.92 / $665.17 / $1,061.44	Professional		$518.92	$665.17	$1,061.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $868.02 / $868.02 / $887.64	Facility		$868.02	$868.02	$887.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.44 / $796.76 / $1,268.61	Professional		$519.44	$796.76	$1,268.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $789.56	Professional		$32.34	$32.34	$789.56
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $579.36 / $827.66 / $1,234.28	Professional		$579.36	$827.66	$1,234.28