Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.85 / $819.16 / $7,909.08	Facility		$471.85	$819.16	$7,909.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.62 / $633.67 / $942.44	Professional		$447.62	$633.67	$942.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $202.86 / $202.86 / $427.07	Professional		$202.86	$202.86	$427.07
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 $325.45 / $440.62 / $730.51	Professional		$325.45	$440.62	$730.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $423.22 / $600.53 / $692.76	Facility		$423.22	$600.53	$692.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $428.95 / $612.66 / $965.14	Professional		$428.95	$612.66	$965.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $746.70 / $789.27 / $789.27	Facility		$746.70	$789.27	$789.27
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $78.93 / $78.93 / $78.93	Facility	AS	$78.93	$78.93	$78.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $536.83 / $803.33 / $1,348.09	Professional		$536.83	$803.33	$1,348.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $796.60	Professional		$32.34	$32.34	$796.60
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 $614.80 / $868.27 / $1,426.06	Professional		$614.80	$868.27	$1,426.06