Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.40 / $787.00 / $2,747.00	Facility		$475.40	$787.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.70 / $566.44 / $825.88	Professional		$408.70	$566.44	$825.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $214.79 / $214.79 / $214.79	Professional		$214.79	$214.79	$214.79
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 $393.15 / $464.68 / $722.16	Professional		$393.15	$464.68	$722.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $425.66 / $605.04 / $697.97	Facility		$425.66	$605.04	$697.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $473.99 / $606.13 / $972.41	Professional		$473.99	$606.13	$972.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $668.23 / $795.21 / $795.21	Facility		$668.23	$795.21	$795.21
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $79.52 / $79.52 / $79.52	Facility	AS	$79.52	$79.52	$79.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.19 / $719.22 / $1,230.51	Professional		$511.19	$719.22	$1,230.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $764.30	Professional		$32.34	$32.34	$764.30
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $567.20 / $766.22 / $1,219.08	Professional		$567.20	$766.22	$1,219.08