Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.47 / $559.19 / $4,996.93	Facility		$301.47	$559.19	$4,996.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.08 / $374.19 / $557.75	Professional		$261.08	$374.19	$557.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.72 / $260.35 / $309.51	Professional		$162.72	$260.35	$309.51
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 $193.82 / $240.40 / $447.63	Professional		$193.82	$240.40	$447.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $271.50 / $383.68 / $442.61	Facility		$271.50	$383.68	$442.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $299.69 / $386.42 / $616.64	Professional		$299.69	$386.42	$616.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.80 / $504.27 / $504.27	Facility		$478.80	$504.27	$504.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.71 / $475.64 / $810.65	Professional		$329.71	$475.64	$810.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $496.42	Professional		$32.34	$32.34	$496.42
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 $377.55 / $484.82 / $801.14	Professional		$377.55	$484.82	$801.14