Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.38 / $647.60 / $8,229.00	Facility		$372.38	$647.60	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.97 / $452.12 / $665.80	Professional		$317.97	$452.12	$665.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.38 / $213.82 / $423.16	Professional		$213.38	$213.82	$423.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.47 / $289.70 / $549.70	Professional		$231.47	$289.70	$549.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $334.68 / $473.94 / $546.73	Facility		$334.68	$473.94	$546.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $370.51 / $477.33 / $761.69	Professional		$370.51	$477.33	$761.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $519.14 / $622.90 / $622.90	Facility		$519.14	$622.90	$622.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.62 / $591.00 / $962.39	Professional		$392.62	$591.00	$962.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $610.10	Professional		$32.34	$32.34	$610.10
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 $449.78 / $627.11 / $971.23	Professional		$449.78	$627.11	$971.23