Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.76 / $1,354.00 / $10,155.29	Facility		$403.76	$1,354.00	$10,155.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.18 / $436.89 / $746.95	Professional		$300.18	$436.89	$746.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $342.00 / $468.09	Professional		$171.00	$342.00	$468.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.67 / $301.51 / $536.86	Professional		$202.67	$301.51	$536.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $360.07 / $486.09 / $594.12	Facility		$360.07	$486.09	$594.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $468.09 / $580.50 / $744.98	Professional		$468.09	$580.50	$744.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $503.59 / $662.53 / $662.53	Facility		$503.59	$662.53	$662.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.70 / $561.82 / $957.61	Professional		$366.70	$561.82	$957.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $628.88	Professional		$32.34	$32.34	$628.88
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 $408.89 / $614.91 / $992.76	Professional		$408.89	$614.91	$992.76