Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,380.38 / $7,079.46	Facility		$239.88	$1,380.38	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $724.44 / $1,258.93	Professional		$162.18	$724.44	$1,258.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $120.23	Professional		$81.28	$81.28	$120.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,715.19 / $11,220.18	Facility		$9,549.93	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $316.23 / $954.99	Professional		$125.89	$316.23	$954.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $194.98 / $229.09	Facility		$138.04	$194.98	$229.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $234.42	Professional		$141.25	$199.53	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $263.03 / $870.96	Facility		$34.67	$263.03	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $1,071.52 / $3,548.13	Professional		$190.55	$1,071.52	$3,548.13
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 $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $389.05 / $1,584.89	Professional		$186.21	$389.05	$1,584.89