Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $1,000.00 / $3,890.45	Facility		$245.47	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $234.42 / $380.19	Professional		$165.96	$234.42	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $380.19	Professional		$169.82	$199.53	$380.19
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 $151.36 / $213.80 / $346.74	Professional		$151.36	$213.80	$346.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $208.93 / $251.19	Facility		$151.36	$208.93	$251.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $257.04	Professional		$141.25	$218.78	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $288.40 / $1,318.26	Facility		$204.17	$288.40	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $295.12 / $2,754.23	Professional		$177.83	$295.12	$2,754.23
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 $162.18 / $239.88 / $363.08	Professional		$162.18	$239.88	$363.08