Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $741.31 / $5,495.41	Facility		$346.74	$741.31	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $416.87 / $588.84	Professional		$281.84	$416.87	$588.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $269.15	Professional		$263.03	$263.03	$269.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,235.94 / $15,848.93	Facility		$1,584.89	$3,235.94	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $338.84 / $467.74	Professional		$263.03	$338.84	$467.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $354.81 / $426.58	Facility		$257.04	$354.81	$426.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $371.54 / $436.52	Professional		$263.03	$371.54	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $489.78 / $1,659.59	Facility		$371.54	$489.78	$1,659.59
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $588.84 / $588.84 / $588.84	Facility	22	$588.84	$588.84	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $512.86 / $1,949.84	Professional		$316.23	$512.86	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,445.44 / $5,248.07	Facility		$524.81	$1,445.44	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $416.87 / $660.69	Professional		$288.40	$416.87	$660.69