Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $812.83 / $2,818.38	Facility		$398.11	$812.83	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $954.99	Professional		$398.11	$489.78	$954.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $331.13 / $676.08	Professional		$141.25	$331.13	$676.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $2,951.21	Facility		$1,258.93	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $436.52 / $724.44	Professional		$354.81	$436.52	$724.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $562.34 / $724.44	Facility		$407.38	$562.34	$724.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $676.08	Professional		$380.19	$562.34	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,318.26	Facility		$758.58	$758.58	$1,318.26
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $537.03 / $537.03 / $537.03	Facility	54	$537.03	$537.03	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $3,162.28	Professional		$467.74	$691.83	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $363.08	Professional		$32.36	$33.11	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $954.99 / $3,388.44	Facility		$389.05	$954.99	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $891.25	Professional		$398.11	$537.03	$891.25