Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,288.25 / $5,495.41	Facility		$302.00	$1,288.25	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $524.81 / $851.14	Professional		$257.04	$524.81	$851.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $245.47 / $263.03	Professional		$239.88	$245.47	$263.03
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 $213.80 / $446.68 / $1,000.00	Professional		$213.80	$446.68	$1,000.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $331.13 / $389.05	Facility		$234.42	$331.13	$389.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $338.84 / $398.11	Professional		$218.78	$338.84	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $446.68 / $1,659.59	Facility		$346.74	$446.68	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $707.95 / $5,888.44	Professional		$295.12	$707.95	$5,888.44
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 $269.15 / $524.81 / $1,348.96	Professional		$269.15	$524.81	$1,348.96