Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.98 / $569.86 / $5,320.00	Facility		$261.98	$569.86	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.63 / $409.33 / $630.96	Professional		$273.63	$409.33	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $286.55 / $286.55 / $286.55	Professional		$286.55	$286.55	$286.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.58 / $320.62 / $501.98	Professional		$264.58	$320.62	$501.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $283.89 / $407.48 / $470.06	Facility		$283.89	$407.48	$470.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $291.06 / $421.10 / $678.89	Professional		$291.06	$421.10	$678.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $476.05 / $535.54 / $535.54	Facility		$476.05	$535.54	$535.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.57 / $503.99 / $840.67	Professional		$353.57	$503.99	$840.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $573.09	Professional		$32.34	$32.34	$573.09
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 $409.82 / $567.73 / $884.49	Professional		$409.82	$567.73	$884.49