Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,288.25 / $5,495.41	Facility		$549.54	$1,288.25	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $524.81 / $954.99	Professional		$331.13	$524.81	$954.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $407.38 / $707.95	Professional		$338.84	$407.38	$707.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $4,365.16	Facility		$1,513.56	$2,454.71	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $309.03 / $676.08	Professional		$257.04	$309.03	$676.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $489.78 / $676.08	Facility		$354.81	$489.78	$676.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $575.44	Professional		$363.08	$467.74	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $660.69 / $1,659.59	Facility		$588.84	$660.69	$1,659.59
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $66.07 / $66.07 / $66.07	Facility	AS	$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $691.83 / $3,162.28	Professional		$436.52	$691.83	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $323.59	Professional		$32.36	$33.11	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,754.23 / $6,309.57	Facility		$602.56	$2,754.23	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $537.03 / $954.99	Professional		$371.54	$537.03	$954.99