Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.82 / $749.34 / $3,765.58	Facility		$183.82	$749.34	$3,765.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.93 / $381.51 / $1,164.68	Professional		$194.93	$381.51	$1,164.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.88 / $208.88 / $208.88	Professional		$208.88	$208.88	$208.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.21 / $548.25 / $915.70	Professional		$182.21	$548.25	$915.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $191.75 / $233.95 / $276.08	Facility		$191.75	$233.95	$276.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $182.66 / $267.38 / $1,081.31	Professional		$182.66	$267.38	$1,081.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.48 / $307.48 / $307.48	Facility		$307.48	$307.48	$307.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.76 / $760.64 / $1,382.80	Professional		$210.76	$760.64	$1,382.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $11,156.00	Facility		$739.00	$3,828.00	$11,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $773.51 / $1,049.66 / $1,473.20	Professional		$773.51	$1,049.66	$1,473.20