Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.91 / $679.17 / $5,320.00	Facility		$331.91	$679.17	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.00 / $436.05 / $679.17	Professional		$312.00	$436.05	$679.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $386.09 / $386.09 / $386.09	Professional		$386.09	$386.09	$386.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.50 / $319.27 / $540.59	Professional		$233.50	$319.27	$540.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $315.05 / $432.42 / $498.83	Facility		$315.05	$432.42	$498.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $341.30 / $435.51 / $694.96	Professional		$341.30	$435.51	$694.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $568.32 / $568.32 / $568.32	Facility		$568.32	$568.32	$568.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.95 / $448.89 / $784.83	Professional		$314.95	$448.89	$784.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $464.27	Professional		$32.34	$32.34	$464.27
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $945.00 / $6,295.00	Facility		$575.00	$945.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $368.21 / $502.10 / $852.81	Professional		$368.21	$502.10	$852.81