Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,412.54 / $6,165.95	Facility		$524.81	$1,412.54	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $724.44	Professional		$371.54	$478.63	$724.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $354.81 / $426.58	Professional		$316.23	$354.81	$426.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,011.87 / $15,848.93	Facility		$2,454.71	$5,011.87	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $467.74 / $1,023.29	Professional		$371.54	$467.74	$1,023.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $489.78 / $575.44	Facility		$354.81	$489.78	$575.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $588.84	Professional		$389.05	$501.19	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $1,862.09	Facility		$660.69	$660.69	$1,862.09
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $794.33 / $794.33 / $794.33	Facility	22	$794.33	$794.33	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $758.58 / $3,162.28	Professional		$436.52	$758.58	$3,162.28
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 $389.05 / $645.65 / $851.14	Professional		$389.05	$645.65	$851.14