Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,513.56 / $5,495.41	Facility		$630.96	$1,513.56	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $1,000.00	Professional		$436.52	$562.34	$1,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
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 $436.52 / $524.81 / $741.31	Professional		$436.52	$524.81	$741.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $588.84 / $707.95	Facility		$426.58	$588.84	$707.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $616.60 / $724.44	Professional		$478.63	$616.60	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $794.33 / $1,659.59	Facility		$616.60	$794.33	$1,659.59
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $954.99 / $954.99 / $954.99	Facility	22	$954.99	$954.99	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $812.83 / $2,951.21	Professional		$478.63	$812.83	$2,951.21
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 $446.68 / $645.65 / $933.25	Professional		$446.68	$645.65	$933.25