Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,905.46 / $5,248.07	Facility		$354.81	$1,905.46	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $537.03 / $4,365.16	Professional		$263.03	$537.03	$4,365.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $3,467.37	Professional		$223.87	$281.84	$3,467.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,570.40 / $5,011.87	Facility		$1,698.24	$2,570.40	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $323.59 / $416.87	Professional		$275.42	$323.59	$416.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $302.00 / $398.11	Facility		$229.09	$302.00	$398.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $309.03 / $398.11	Professional		$223.87	$309.03	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $457.09 / $457.09	Facility		$34.67	$457.09	$457.09
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $549.54 / $549.54 / $549.54	Facility	22	$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $1,000.00 / $10,715.19	Professional		$295.12	$1,000.00	$10,715.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,511.89	Professional		$32.36	$33.11	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,445.44 / $4,073.80	Facility		$524.81	$1,445.44	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $575.44 / $3,630.78	Professional		$269.15	$575.44	$3,630.78