Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.85 / $629.76 / $8,229.00	Facility		$399.85	$629.76	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.86 / $479.28 / $729.95	Professional		$383.86	$479.28	$729.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $534.28 / $534.28 / $534.28	Professional		$534.28	$534.28	$534.28
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 $310.37 / $400.95 / $660.85	Professional		$310.37	$400.95	$660.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $397.22 / $542.02 / $625.27	Facility		$397.22	$542.02	$625.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $460.72 / $550.28 / $957.00	Professional		$460.72	$550.28	$957.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.67 / $712.37 / $712.37	Facility		$510.67	$712.37	$712.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.39 / $586.87 / $974.99	Professional		$396.39	$586.87	$974.99
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 $423.55 / $621.33 / $999.19	Professional		$423.55	$621.33	$999.19