Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,778.28 / $8,128.31	Facility		$302.00	$1,778.28	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $407.38 / $676.08	Professional		$257.04	$407.38	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $2,398.83	Professional		$1,174.90	$1,174.90	$2,398.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,801.89 / $8,511.38	Facility		$2,344.23	$3,801.89	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $239.88 / $602.56	Professional		$194.98	$239.88	$602.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $371.54 / $478.63	Facility		$269.15	$371.54	$478.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $436.52	Professional		$251.19	$354.81	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $1,862.09	Facility		$501.19	$501.19	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $549.54 / $3,019.95	Professional		$331.13	$549.54	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $223.87	Professional		$32.36	$33.11	$223.87
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 $281.84 / $436.52 / $794.33	Professional		$281.84	$436.52	$794.33