Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,513.56 / $5,495.41	Facility		$346.74	$1,513.56	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $707.95	Professional		$302.00	$436.52	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $4,365.16	Facility		$1,513.56	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $269.15 / $616.60	Professional		$223.87	$269.15	$616.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $407.38 / $537.03	Facility		$302.00	$407.38	$537.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $501.19	Professional		$302.00	$407.38	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $1,659.59	Facility		$562.34	$562.34	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $588.84 / $2,951.21	Professional		$380.19	$588.84	$2,951.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $208.93	Professional		$32.36	$33.11	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,754.23 / $6,309.57	Facility		$602.56	$2,754.23	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $831.76	Professional		$316.23	$467.74	$831.76