Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,288.25 / $5,495.41	Facility		$281.84	$1,288.25	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $489.78	Professional		$204.17	$263.03	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $229.09 / $251.19	Professional		$87.10	$229.09	$251.19
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 $194.98 / $229.09 / $302.00	Professional		$194.98	$229.09	$302.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $263.03 / $316.23	Facility		$190.55	$263.03	$316.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $269.15 / $316.23	Professional		$194.98	$269.15	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $1,659.59	Facility		$354.81	$354.81	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $346.74 / $1,258.93	Professional		$213.80	$346.74	$1,258.93
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 $194.98 / $281.84 / $416.87	Professional		$194.98	$281.84	$416.87