Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $1,288.25 / $5,495.41	Facility		$234.42	$1,288.25	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $660.69 / $1,096.48	Professional		$173.78	$660.69	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $165.96	Professional		$147.91	$147.91	$165.96
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 $190.55 / $478.63 / $794.33	Professional		$190.55	$478.63	$794.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $218.78 / $263.03	Facility		$158.49	$218.78	$263.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $269.15	Professional		$162.18	$218.78	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $1,659.59	Facility		$295.12	$295.12	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $794.33 / $3,311.31	Professional		$229.09	$794.33	$3,311.31
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 $602.56 / $2,754.23 / $6,309.57	Facility		$602.56	$2,754.23	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $537.03 / $1,412.54	Professional		$181.97	$537.03	$1,412.54