Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.27 / $4,022.30 / $9,716.43	Facility		$286.27	$4,022.30	$9,716.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.88 / $317.87 / $819.33	Professional		$269.88	$317.87	$819.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.69 / $269.69 / $269.69	Professional		$269.69	$269.69	$269.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $4,181.00 / $9,325.00	Facility		$1,919.00	$4,181.00	$9,325.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.28 / $294.81 / $421.10	Professional		$243.28	$294.81	$421.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $269.69 / $359.48 / $431.50	Facility		$269.69	$359.48	$431.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $269.69 / $350.60 / $431.50	Professional		$269.69	$350.60	$431.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.64 / $331.64 / $331.64	Facility		$331.64	$331.64	$331.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.44 / $378.20 / $558.00	Professional		$280.44	$378.20	$558.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $296.66	Professional		$32.34	$32.34	$296.66
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 $261.33 / $362.28 / $571.29	Professional		$261.33	$362.28	$571.29