Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,949.84 / $9,120.11	Facility		$489.78	$1,949.84	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $812.83	Professional		$302.00	$446.68	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $331.13 / $1,174.90	Professional		$295.12	$331.13	$1,174.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,073.80 / $9,549.93	Facility		$2,630.27	$4,073.80	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $269.15 / $616.60	Professional		$223.87	$269.15	$616.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $407.38 / $537.03	Facility		$302.00	$407.38	$537.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $501.19	Professional		$275.42	$407.38	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $2,290.87	Facility		$562.34	$562.34	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $588.84 / $3,019.95	Professional		$380.19	$588.84	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $269.15	Professional		$32.36	$33.11	$269.15
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 $323.59 / $467.74 / $831.76	Professional		$323.59	$467.74	$831.76