Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.32 / $733.90 / $5,320.00	Facility		$367.32	$733.90	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.27 / $451.24 / $656.11	Professional		$314.27	$451.24	$656.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $197.75 / $197.75 / $496.59	Professional		$197.75	$197.75	$496.59
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 $230.98 / $286.02 / $542.08	Professional		$230.98	$286.02	$542.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $329.97 / $467.50 / $539.29	Facility		$329.97	$467.50	$539.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $365.64 / $470.84 / $751.34	Professional		$365.64	$470.84	$751.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.36 / $614.42 / $614.42	Facility		$524.36	$614.42	$614.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.45 / $573.51 / $966.04	Professional		$391.45	$573.51	$966.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $599.33	Professional		$32.34	$32.34	$599.33
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 $444.59 / $629.66 / $967.27	Professional		$444.59	$629.66	$967.27