Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.30 / $637.00 / $2,747.00	Facility		$377.30	$637.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.30 / $438.67 / $622.87	Professional		$377.30	$438.67	$622.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $292.12 / $292.12 / $292.12	Professional		$292.12	$292.12	$292.12
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 $356.41 / $430.17 / $641.77	Professional		$356.41	$430.17	$641.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $413.97 / $592.72 / $683.73	Facility		$413.97	$592.72	$683.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $465.71 / $592.72 / $846.74	Professional		$465.71	$592.72	$846.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.76 / $523.76 / $613.33	Facility		$523.76	$523.76	$613.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.22 / $610.16 / $935.53	Professional		$443.22	$610.16	$935.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $550.38	Professional		$32.34	$32.34	$550.38
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $392.76 / $561.09 / $845.91	Professional		$392.76	$561.09	$845.91