Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.73 / $762.00 / $5,320.00	Facility		$402.73	$762.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.43 / $650.53 / $993.50	Professional		$471.43	$650.53	$993.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $214.52 / $214.52 / $214.52	Professional		$214.52	$214.52	$214.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.64 / $482.41 / $801.86	Professional		$317.64	$482.41	$801.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $447.40 / $632.79 / $729.98	Facility		$447.40	$632.79	$729.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $452.00 / $637.32 / $1,017.00	Professional		$452.00	$637.32	$1,017.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $750.32 / $831.68 / $831.68	Facility		$750.32	$831.68	$831.68
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $83.17 / $83.17 / $83.17	Facility	AS	$83.17	$83.17	$83.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $582.78 / $857.88 / $1,444.55	Professional		$582.78	$857.88	$1,444.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $812.19	Professional		$32.34	$32.34	$812.19
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $642.64 / $876.82 / $1,455.69	Professional		$642.64	$876.82	$1,455.69