Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.92 / $535.00 / $8,229.00	Facility		$270.92	$535.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.98 / $280.20 / $390.44	Professional		$262.98	$280.20	$390.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.33 / $281.33 / $281.33	Professional		$281.33	$281.33	$281.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.57 / $309.70 / $442.20	Professional		$255.57	$309.70	$442.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $264.38 / $362.88 / $418.61	Facility		$264.38	$362.88	$418.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $286.42 / $362.88 / $518.40	Professional		$286.42	$362.88	$518.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.64 / $318.64 / $318.64	Facility		$318.64	$318.64	$318.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.64 / $401.74 / $580.14	Professional		$273.64	$401.74	$580.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $293.18	Professional		$32.34	$32.34	$293.18
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $794.00 / $5,301.00	Facility		$523.00	$794.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $263.54 / $366.04 / $576.19	Professional		$263.54	$366.04	$576.19