Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.62 / $516.59 / $5,320.00	Facility		$239.62	$516.59	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.12 / $367.51 / $547.54	Professional		$254.12	$367.51	$547.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $319.58 / $319.58 / $319.58	Professional		$319.58	$319.58	$319.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.97 / $231.33 / $438.28	Professional		$186.97	$231.33	$438.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $266.41 / $376.08 / $433.85	Facility		$266.41	$376.08	$433.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $262.58 / $376.75 / $595.42	Professional		$262.58	$376.75	$595.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $423.21 / $494.28 / $494.28	Facility		$423.21	$494.28	$494.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.87 / $467.29 / $788.07	Professional		$313.87	$467.29	$788.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $142.91 / $425.30	Professional		$32.34	$142.91	$425.30
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 $351.82 / $522.08 / $810.77	Professional		$351.82	$522.08	$810.77