Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.11 / $2,476.07 / $7,754.00	Facility		$524.11	$2,476.07	$7,754.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.09 / $515.25 / $883.51	Professional		$427.09	$515.25	$883.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $448.13 / $476.46 / $714.69	Professional		$448.13	$476.46	$714.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,818.00 / $6,734.00 / $12,911.00	Facility		$3,818.00	$6,734.00	$12,911.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.63 / $473.06 / $686.82	Professional		$383.63	$473.06	$686.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $476.46 / $643.22 / $786.16	Facility		$476.46	$643.22	$786.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $476.46 / $619.40 / $762.34	Professional		$476.46	$619.40	$762.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $589.59 / $589.59 / $613.26	Facility		$589.59	$589.59	$613.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.37 / $675.40 / $992.27	Professional		$475.37	$675.40	$992.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $619.40	Professional		$32.34	$32.34	$619.40
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 $441.52 / $609.67 / $950.65	Professional		$441.52	$609.67	$950.65