Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.81 / $637.00 / $2,747.00	Facility		$404.81	$637.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.75 / $531.85 / $791.88	Professional		$415.75	$531.85	$791.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $508.60 / $508.60 / $508.60	Professional		$508.60	$508.60	$508.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.83 / $388.99 / $625.71	Professional		$189.83	$388.99	$625.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $446.14 / $632.98 / $730.19	Facility		$446.14	$632.98	$730.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $495.00 / $637.50 / $1,017.29	Professional		$495.00	$637.50	$1,017.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $387.41 / $831.92 / $831.92	Facility		$387.41	$831.92	$831.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.96 / $677.16 / $1,191.35	Professional		$441.96	$677.16	$1,191.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $761.09	Professional		$32.34	$32.34	$761.09
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,396.50 / $6,295.00	Facility		$599.00	$2,396.50	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $474.50 / $736.37 / $1,220.36	Professional		$474.50	$736.37	$1,220.36