Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.76 / $497.37 / $3,740.00	Facility		$318.76	$497.37	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.74 / $435.34 / $607.57	Professional		$306.74	$435.34	$607.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $203.09 / $203.09 / $237.47	Professional		$203.09	$203.09	$237.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.06 / $349.12 / $467.92	Professional		$282.06	$349.12	$467.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $308.01 / $437.43 / $504.60	Facility		$308.01	$437.43	$504.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $341.75 / $440.55 / $703.01	Professional		$341.75	$440.55	$703.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $574.91 / $574.91 / $574.91	Facility		$574.91	$574.91	$574.91
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $57.49 / $57.49 / $57.49	Facility	AS	$57.49	$57.49	$57.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.85 / $575.92 / $974.23	Professional		$373.85	$575.92	$974.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $194.70 / $465.40	Professional		$32.34	$194.70	$465.40
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 $469.07 / $640.60 / $945.64	Professional		$469.07	$640.60	$945.64