Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,698.24 / $3,890.45	Facility		$281.84	$1,698.24	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $288.40 / $489.78	Professional		$199.53	$288.40	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $389.05	Professional		$177.83	$234.42	$389.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $2,951.21	Facility		$1,348.96	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $263.03 / $467.74	Professional		$181.97	$263.03	$467.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $239.88 / $323.59	Facility		$169.82	$239.88	$323.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $288.40	Professional		$199.53	$239.88	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $1,318.26	Facility		$316.23	$316.23	$1,318.26
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $31.62 / $31.62 / $31.62	Facility	AS	$31.62	$31.62	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $354.81 / $2,290.87	Professional		$218.78	$354.81	$2,290.87
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 / $1,819.70 / $11,220.18	Facility		$524.81	$1,819.70	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $338.84 / $501.19	Professional		$199.53	$338.84	$501.19