Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.92 / $389.33 / $8,229.00	Facility		$268.92	$389.33	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.92 / $361.38 / $476.36	Professional		$268.92	$361.38	$476.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $433.13 / $433.13 / $433.13	Professional		$433.13	$433.13	$433.13
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 $239.59 / $333.86 / $490.23	Professional		$239.59	$333.86	$490.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $264.01 / $362.38 / $418.02	Facility		$264.01	$362.38	$418.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $258.83 / $375.32 / $582.39	Professional		$258.83	$375.32	$582.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $476.27 / $476.27 / $476.27	Facility		$476.27	$476.27	$476.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.72 / $404.60 / $714.24	Professional		$285.72	$404.60	$714.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $381.15	Professional		$32.34	$32.34	$381.15
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $945.00 / $6,295.00	Facility		$575.00	$945.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $339.43 / $456.77 / $716.90	Professional		$339.43	$456.77	$716.90