Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $1,288.25 / $5,495.41	Facility		$288.40	$1,288.25	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $446.68 / $812.83	Professional		$223.87	$446.68	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $269.15 / $309.03	Professional		$177.83	$269.15	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,511.89 / $5,011.87	Facility		$1,584.89	$2,511.89	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $630.96	Professional		$229.09	$269.15	$630.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $269.15 / $346.74	Facility		$208.93	$269.15	$346.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $512.86 / $676.08	Professional		$281.84	$512.86	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $1,659.59	Facility		$380.19	$380.19	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $524.81 / $3,311.31	Professional		$257.04	$524.81	$3,311.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $489.78	Professional		$32.36	$33.11	$489.78
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 $223.87 / $436.52 / $724.44	Professional		$223.87	$436.52	$724.44