Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,513.56 / $5,495.41	Facility		$323.59	$1,513.56	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $323.59 / $489.78	Professional		$223.87	$323.59	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,398.83 / $4,365.16	Facility		$1,479.11	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $309.03 / $436.52	Professional		$223.87	$309.03	$436.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $288.40 / $338.84	Facility		$204.17	$288.40	$338.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $295.12 / $346.74	Professional		$229.09	$295.12	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $389.05 / $1,659.59	Facility		$269.15	$389.05	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $436.52 / $1,819.70	Professional		$251.19	$436.52	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,445.44 / $5,248.07	Facility		$524.81	$1,445.44	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $338.84 / $562.34	Professional		$218.78	$338.84	$562.34