Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.01 / $680.08 / $8,229.00	Facility		$361.01	$680.08	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.68 / $371.63 / $481.59	Professional		$210.68	$371.63	$481.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $324.58 / $324.58 / $324.58	Professional		$324.58	$324.58	$324.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.43 / $259.19 / $396.24	Professional		$178.43	$259.19	$396.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $353.89 / $485.73 / $560.33	Facility		$353.89	$485.73	$560.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $346.95 / $485.73 / $693.90	Professional		$346.95	$485.73	$693.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $430.39 / $430.39 / $430.39	Facility		$430.39	$430.39	$430.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.86 / $355.39 / $584.55	Professional		$233.86	$355.39	$584.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $381.65	Professional		$32.34	$32.34	$381.65
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 $293.10 / $370.46 / $712.09	Professional		$293.10	$370.46	$712.09