Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $1,000.00 / $8,511.38	Facility		$208.93	$1,000.00	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $363.08	Professional		$169.82	$223.87	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $2,951.21	Facility		$1,258.93	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $177.83 / $323.59	Professional		$141.25	$177.83	$323.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $218.78 / $257.04	Facility		$158.49	$218.78	$257.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $263.03	Professional		$173.78	$223.87	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $1,318.26	Facility		$295.12	$295.12	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $1,778.28	Professional		$173.78	$275.42	$1,778.28
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 / $234.42 / $363.08	Professional		$154.88	$234.42	$363.08