Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.90 / $506.02 / $5,320.00	Facility		$339.90	$506.02	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.25 / $398.90 / $506.02	Professional		$310.25	$398.90	$506.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $247.55 / $247.55 / $247.55	Professional		$247.55	$247.55	$247.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,066.00	Facility		$1,258.00	$2,316.00	$4,066.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.65 / $281.04 / $528.09	Professional		$232.65	$281.04	$528.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $373.44 / $533.17 / $615.04	Facility		$373.44	$533.17	$615.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $411.93 / $533.17 / $827.45	Professional		$411.93	$533.17	$827.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.57 / $700.75 / $700.75	Facility		$466.57	$700.75	$700.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.25 / $524.79 / $738.97	Professional		$387.25	$524.79	$738.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $547.83	Professional		$32.34	$32.34	$547.83
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $343.85 / $495.05 / $721.52	Professional		$343.85	$495.05	$721.52