Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $851.14 / $5,495.41	Facility		$309.03	$851.14	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $676.08	Professional		$234.42	$338.84	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $794.33	Professional		$416.87	$416.87	$794.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,398.83 / $4,365.16	Facility		$1,479.11	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $380.19	Professional		$208.93	$269.15	$380.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $257.04 / $354.81	Facility		$208.93	$257.04	$354.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $354.81	Professional		$199.53	$263.03	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $1,659.59	Facility		$407.38	$407.38	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $371.54 / $1,584.89	Professional		$251.19	$371.54	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $147.91	Professional		$32.36	$33.11	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,348.96 / $5,248.07	Facility		$524.81	$1,348.96	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $331.13 / $524.81	Professional		$234.42	$331.13	$524.81