Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,288.25 / $5,495.41	Facility		$263.03	$1,288.25	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $398.11 / $831.76	Professional		$181.97	$398.11	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $645.65	Professional		$91.20	$120.23	$645.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,511.89 / $5,011.87	Facility		$1,698.24	$2,511.89	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $251.19 / $371.54	Professional		$204.17	$251.19	$371.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $239.88 / $302.00	Facility		$181.97	$239.88	$302.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $457.09 / $616.60	Professional		$239.88	$457.09	$616.60
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 Facility Modifier 53 Low / Median / High Price $67.61 / $67.61 / $67.61	Facility	53	$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $467.74 / $2,398.83	Professional		$223.87	$467.74	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $436.52	Professional		$32.36	$33.11	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,479.11 / $4,073.80	Facility		$524.81	$1,479.11	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $389.05 / $676.08	Professional		$199.53	$389.05	$676.08