Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,000.00 / $3,890.45	Facility		$239.88	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $478.63	Professional		$204.17	$245.47	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $2,951.21	Facility		$1,348.96	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $186.21 / $331.13	Professional		$154.88	$186.21	$331.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $263.03 / $346.74	Facility		$181.97	$263.03	$346.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $288.40 / $354.81	Professional		$208.93	$288.40	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $398.11 / $1,318.26	Facility		$257.04	$398.11	$1,318.26
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	54	$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $1,862.09	Professional		$234.42	$354.81	$1,862.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $138.04	Professional		$32.36	$33.11	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $446.68	Professional		$199.53	$269.15	$446.68