Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.69 / $1,912.53 / $5,320.00	Facility		$258.69	$1,912.53	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.22 / $505.39 / $2,896.15	Professional		$263.22	$505.39	$2,896.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $308.51 / $340.60 / $2,887.81	Professional		$308.51	$340.60	$2,887.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,467.00 / $2,316.00 / $4,389.00	Facility		$1,467.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.94 / $324.64 / $487.76	Professional		$275.94	$324.64	$487.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $251.75 / $345.53 / $398.60	Facility		$251.75	$345.53	$398.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $276.43 / $357.87 / $3,069.12	Professional		$276.43	$357.87	$3,069.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $454.13 / $454.13 / $454.13	Facility		$454.13	$454.13	$454.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.77 / $715.00 / $4,268.93	Professional		$289.77	$715.00	$4,268.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,523.00	Professional		$32.34	$32.34	$2,523.00
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $4,039.00	Facility		$523.00	$1,450.00	$4,039.00
United Facility/Professional Professional Modifier Low / Median / High Price $648.36 / $2,879.65 / $5,403.68	Professional		$648.36	$2,879.65	$5,403.68