Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,096.48 / $5,495.41	Facility		$263.03	$1,096.48	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $398.11 / $1,122.02	Professional		$190.55	$398.11	$1,122.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $245.47	Professional		$162.18	$213.80	$245.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,884.03 / $5,888.44	Facility		$1,659.59	$2,884.03	$5,888.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $288.40 / $616.60	Professional		$239.88	$288.40	$616.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $234.42 / $295.12	Facility		$181.97	$234.42	$295.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $602.56 / $794.33	Professional		$218.78	$602.56	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $1,659.59	Facility		$338.84	$338.84	$1,659.59
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $407.38 / $407.38 / $407.38	Facility	22	$407.38	$407.38	$407.38
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $269.15 / $269.15 / $269.15	Facility	52	$269.15	$269.15	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $524.81 / $2,818.38	Professional		$213.80	$524.81	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $691.83	Professional		$32.36	$33.11	$691.83
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 $194.98 / $389.05 / $870.96	Professional		$194.98	$389.05	$870.96