Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.67 / $1,149.18 / $5,320.00	Facility		$237.67	$1,149.18	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.91 / $1,035.94 / $1,994.49	Professional		$241.91	$1,035.94	$1,994.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.01 / $111.01 / $111.01	Professional		$111.01	$111.01	$111.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.98 / $454.52 / $1,525.69	Professional		$177.98	$454.52	$1,525.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $207.04 / $302.48 / $345.70	Facility		$207.04	$302.48	$345.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $216.06 / $313.29 / $1,542.72	Professional		$216.06	$313.29	$1,542.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $352.81 / $397.55 / $397.55	Facility		$352.81	$397.55	$397.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.18 / $1,080.45 / $2,226.79	Professional		$268.18	$1,080.45	$2,226.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,125.11	Professional		$32.34	$32.34	$1,125.11
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,481.00	Facility		$50.00	$668.00	$3,481.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,224.31 / $1,709.90 / $2,519.30	Professional		$1,224.31	$1,709.90	$2,519.30