Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,778.28 / $5,888.44	Facility		$223.87	$1,778.28	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $234.42 / $575.44	Professional		$117.49	$234.42	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $234.42 / $575.44	Professional		$144.54	$234.42	$575.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $2,951.21	Facility		$1,348.96	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $199.53	Professional		$83.18	$141.25	$199.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $128.82 / $181.97	Facility		$104.71	$128.82	$181.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $177.83	Professional		$102.33	$138.04	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $204.17 / $1,318.26	Facility		$199.53	$204.17	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $223.87 / $1,174.90	Professional		$120.23	$223.87	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $275.42	Professional		$32.36	$33.11	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,348.96 / $5,248.07	Facility		$524.81	$1,348.96	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $190.55 / $302.00	Professional		$112.20	$190.55	$302.00