Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $851.14 / $5,370.32	Facility		$234.42	$851.14	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $363.08 / $707.95	Professional		$165.96	$363.08	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $363.08 / $1,445.44	Professional		$147.91	$363.08	$1,445.44
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 / $239.88 / $354.81	Professional		$158.49	$239.88	$354.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $213.80 / $251.19	Facility		$151.36	$213.80	$251.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $257.04	Professional		$169.82	$218.78	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $288.40 / $288.40	Facility		$34.67	$288.40	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $398.11 / $1,698.24	Professional		$204.17	$398.11	$1,698.24
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 / $2,089.30 / $5,248.07	Facility		$524.81	$2,089.30	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $316.23 / $562.34	Professional		$173.78	$316.23	$562.34