Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.93 / $596.41 / $5,320.00	Facility		$258.93	$596.41	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.83 / $303.55 / $390.19	Professional		$232.83	$303.55	$390.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $409.31 / $409.31 / $409.31	Professional		$409.31	$409.31	$409.31
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 $182.69 / $247.67 / $417.34	Professional		$182.69	$247.67	$417.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $240.10 / $329.55 / $380.15	Facility		$240.10	$329.55	$380.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $280.11 / $341.32 / $606.38	Professional		$280.11	$341.32	$606.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.74 / $433.12 / $433.12	Facility		$296.74	$433.12	$433.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.24 / $358.52 / $615.79	Professional		$244.24	$358.52	$615.79
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 $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $269.00 / $382.70 / $635.54	Professional		$269.00	$382.70	$635.54