Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.86 / $1,138.71 / $3,626.93	Facility		$212.86	$1,138.71	$3,626.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.24 / $1,112.82 / $1,505.53	Professional		$207.24	$1,112.82	$1,505.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.56 / $251.56 / $251.56	Professional		$251.56	$251.56	$251.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.16 / $406.11 / $1,374.35	Professional		$201.16	$406.11	$1,374.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $197.38 / $270.91 / $312.51	Facility		$197.38	$270.91	$312.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $230.28 / $309.62 / $1,598.55	Professional		$230.28	$309.62	$1,598.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.06 / $356.06 / $356.06	Facility		$356.06	$356.06	$356.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.84 / $972.87 / $2,144.08	Professional		$243.84	$972.87	$2,144.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,161.61 / $1,697.03 / $2,451.26	Professional		$1,161.61	$1,697.03	$2,451.26