Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $1,288.25 / $7,079.46	Facility		$245.47	$1,288.25	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $316.23 / $616.60	Professional		$151.36	$316.23	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $380.19	Professional		$131.83	$169.82	$380.19
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 $158.49 / $331.13 / $562.34	Professional		$158.49	$331.13	$562.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $190.55 / $223.87	Facility		$138.04	$190.55	$223.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $194.98 / $229.09	Professional		$141.25	$194.98	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $257.04 / $1,659.59	Facility		$199.53	$257.04	$1,659.59
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $309.03 / $309.03 / $309.03	Facility	22	$309.03	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $380.19 / $3,890.45	Professional		$186.21	$380.19	$3,890.45
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 $154.88 / $288.40 / $512.86	Professional		$154.88	$288.40	$512.86