Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.05 / $567.74 / $3,740.00	Facility		$373.05	$567.74	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.31 / $422.93 / $684.07	Professional		$363.31	$422.93	$684.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $459.77 / $459.77 / $495.14	Professional		$459.77	$459.77	$495.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,015.00 / $11,253.00	Facility		$7,212.00	$9,015.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.06 / $383.61 / $530.54	Professional		$326.06	$383.61	$530.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $361.69 / $495.14 / $571.17	Facility		$361.69	$495.14	$571.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $345.71 / $495.14 / $707.34	Professional		$345.71	$495.14	$707.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $435.35 / $435.35 / $435.35	Facility		$435.35	$435.35	$435.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.85 / $576.90 / $1,050.15	Professional		$397.85	$576.90	$1,050.15
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 $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $406.30 / $640.99 / $811.68	Professional		$406.30	$640.99	$811.68