Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.98 / $567.44 / $5,320.00	Facility		$317.98	$567.44	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.19 / $402.56 / $578.73	Professional		$280.19	$402.56	$578.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $274.17 / $274.17 / $274.17	Professional		$274.17	$274.17	$274.17
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 $209.34 / $256.41 / $476.85	Professional		$209.34	$256.41	$476.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $285.95 / $404.70 / $466.85	Facility		$285.95	$404.70	$466.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $316.29 / $407.59 / $650.41	Professional		$316.29	$407.59	$650.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $447.99 / $531.89 / $531.89	Facility		$447.99	$531.89	$531.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.77 / $504.50 / $861.13	Professional		$325.77	$504.50	$861.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $531.41	Professional		$32.34	$32.34	$531.41
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $410.59 / $535.92 / $866.09	Professional		$410.59	$535.92	$866.09