Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,949.84 / $9,772.37	Facility		$239.88	$1,949.84	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $457.09	Professional		$173.78	$213.80	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $912.01	Professional		$109.65	$162.18	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,011.87 / $10,964.78	Facility		$2,754.23	$5,011.87	$10,964.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $181.97 / $257.04	Professional		$154.88	$181.97	$257.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $208.93 / $295.12	Facility		$169.82	$208.93	$295.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $295.12	Professional		$165.96	$218.78	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $2,290.87	Facility		$338.84	$338.84	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $263.03 / $1,288.25	Professional		$186.21	$263.03	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $190.55	Professional		$32.36	$33.11	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,698.24 / $6,309.57	Facility		$575.44	$1,698.24	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $354.81	Professional		$165.96	$223.87	$354.81