Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,778.28 / $4,365.16	Facility		$398.11	$1,778.28	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $323.59 / $724.44	Professional		$208.93	$323.59	$724.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $239.88 / $371.54	Professional		$208.93	$239.88	$371.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $2,951.21	Facility		$1,258.93	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $380.19 / $549.54	Professional		$316.23	$380.19	$549.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $234.42 / $331.13	Facility		$190.55	$234.42	$331.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $323.59	Professional		$181.97	$257.04	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $1,318.26	Facility		$371.54	$371.54	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $478.63 / $2,238.72	Professional		$223.87	$478.63	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $302.00	Professional		$32.36	$33.11	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,862.09 / $8,511.38	Facility		$630.96	$1,862.09	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $389.05 / $588.84	Professional		$204.17	$389.05	$588.84