Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $636.13 / $873.12 / $7,909.08	Facility		$636.13	$873.12	$7,909.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.13 / $736.17 / $1,184.64	Professional		$636.13	$736.17	$1,184.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $781.74 / $781.74 / $781.74	Professional		$781.74	$781.74	$781.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $483.31 / $585.66 / $902.45	Professional		$483.31	$585.66	$902.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $617.66 / $841.88 / $971.17	Facility		$617.66	$841.88	$971.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $601.34 / $841.88 / $1,202.68	Professional		$601.34	$841.88	$1,202.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $622.53 / $741.95 / $741.95	Facility		$622.53	$741.95	$741.95
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $72.29 / $72.29 / $72.29	Facility	AS	$72.29	$72.29	$72.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.44 / $847.76 / $1,347.53	Professional		$679.44	$847.76	$1,347.53
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 $646.65 / $1,056.19 / $1,315.98	Professional		$646.65	$1,056.19	$1,315.98