Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,513.56 / $5,495.41	Facility		$398.11	$1,513.56	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $776.25	Professional		$281.84	$436.52	$776.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $616.60	Professional		$426.58	$426.58	$616.60
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 $269.15 / $331.13 / $758.58	Professional		$269.15	$331.13	$758.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $380.19 / $537.03	Facility		$275.42	$380.19	$537.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $380.19 / $467.74	Professional		$275.42	$380.19	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $1,659.59	Facility		$524.81	$524.81	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $602.56 / $3,890.45	Professional		$363.08	$602.56	$3,890.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $218.78	Professional		$32.36	$33.11	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,445.44 / $5,248.07	Facility		$524.81	$1,445.44	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $776.25	Professional		$309.03	$478.63	$776.25