Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.34 / $808.63 / $2,747.00	Facility		$421.34	$808.63	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.35 / $670.85 / $983.20	Professional		$465.35	$670.85	$983.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $494.55 / $494.55 / $611.22	Professional		$494.55	$494.55	$611.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,769.00	Facility		$1,643.00	$3,498.00	$8,769.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.57 / $410.54 / $760.26	Professional		$330.57	$410.54	$760.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $463.60 / $658.24 / $759.32	Facility		$463.60	$658.24	$759.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $459.59 / $662.94 / $1,132.08	Professional		$459.59	$662.94	$1,132.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $807.71 / $865.11 / $865.11	Facility		$807.71	$865.11	$865.11
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $86.51 / $86.51 / $86.51	Facility	AS	$86.51	$86.51	$86.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $559.37 / $819.40 / $1,350.28	Professional		$559.37	$819.40	$1,350.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $955.66	Professional		$32.34	$32.34	$955.66
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 $642.13 / $966.08 / $1,552.11	Professional		$642.13	$966.08	$1,552.11