Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,513.56 / $5,495.41	Facility		$537.03	$1,513.56	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $1,202.26	Professional		$467.74	$676.08	$1,202.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $676.08 / $691.83	Professional		$354.81	$676.08	$691.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $4,365.16	Facility		$1,513.56	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $501.19 / $870.96	Professional		$407.38	$501.19	$870.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $616.60 / $851.14	Facility		$446.68	$616.60	$851.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $588.84 / $741.31	Professional		$457.09	$588.84	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $1,659.59	Facility		$831.76	$831.76	$1,659.59
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $83.18 / $83.18 / $83.18	Facility	AS	$83.18	$83.18	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $4,073.80	Professional		$616.60	$912.01	$4,073.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $407.38	Professional		$32.36	$33.11	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,890.45 / $8,511.38	Facility		$741.31	$3,890.45	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $1,288.25	Professional		$489.78	$724.44	$1,288.25