Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,584.89 / $5,495.41	Facility		$338.84	$1,584.89	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $478.63 / $1,479.11	Professional		$229.09	$478.63	$1,479.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $812.83	Professional		$144.54	$144.54	$812.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,019.95 / $6,025.60	Facility		$1,584.89	$3,019.95	$6,025.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $218.78 / $316.23	Professional		$123.03	$218.78	$316.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $245.47 / $346.74	Facility		$199.53	$245.47	$346.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $346.74	Professional		$213.80	$269.15	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $398.11 / $398.11	Facility		$34.67	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $812.83 / $3,715.35	Professional		$239.88	$812.83	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $575.44	Professional		$32.36	$33.11	$575.44
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 $234.42 / $575.44 / $1,174.90	Professional		$234.42	$575.44	$1,174.90