Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.19 / $700.72 / $8,229.00	Facility		$422.19	$700.72	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.08 / $526.04 / $908.71	Professional		$405.08	$526.04	$908.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $511.15 / $511.15 / $542.60	Professional		$511.15	$511.15	$542.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.33 / $419.30 / $662.10	Professional		$292.33	$419.30	$662.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $401.05 / $550.47 / $635.00	Facility		$401.05	$550.47	$635.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $393.19 / $554.40 / $884.68	Professional		$393.19	$554.40	$884.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.47 / $723.47 / $723.47	Facility		$723.47	$723.47	$723.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.98 / $568.83 / $950.31	Professional		$399.98	$568.83	$950.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $551.40	Professional		$32.34	$32.34	$551.40
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $794.00 / $5,301.00	Facility		$523.00	$794.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $454.15 / $585.96 / $1,020.38	Professional		$454.15	$585.96	$1,020.38