Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.36 / $625.98 / $5,320.00	Facility		$371.36	$625.98	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.25 / $455.77 / $625.98	Professional		$322.25	$455.77	$625.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $318.98 / $318.98 / $318.98	Professional		$318.98	$318.98	$318.98
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 $248.08 / $335.12 / $541.42	Professional		$248.08	$335.12	$541.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $332.62 / $472.64 / $545.22	Facility		$332.62	$472.64	$545.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $371.36 / $476.02 / $759.60	Professional		$371.36	$476.02	$759.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.39 / $621.17 / $621.17	Facility		$616.39	$621.17	$621.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.13 / $572.80 / $972.54	Professional		$405.13	$572.80	$972.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $141.47 / $521.76	Professional		$32.34	$141.47	$521.76
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 $436.83 / $594.66 / $968.55	Professional		$436.83	$594.66	$968.55