Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.90 / $787.00 / $8,229.00	Facility		$537.90	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.90 / $605.66 / $946.18	Professional		$537.90	$605.66	$946.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $519.17 / $519.17 / $519.17	Professional		$519.17	$519.17	$519.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,559.00 / $18,409.41 / $55,575.98	Facility		$6,559.00	$18,409.41	$55,575.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $567.21 / $698.26 / $1,025.19	Professional		$567.21	$698.26	$1,025.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $503.95 / $744.63 / $930.79	Facility		$503.95	$744.63	$930.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $531.88 / $744.63 / $1,063.76	Professional		$531.88	$744.63	$1,063.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $654.41 / $654.41 / $931.68	Facility		$654.41	$654.41	$931.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $672.54 / $947.03 / $1,412.98	Professional		$672.54	$947.03	$1,412.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $691.44	Professional		$32.34	$32.34	$691.44
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $637.54 / $841.44 / $1,345.96	Professional		$637.54	$841.44	$1,345.96