Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.81 / $2,200.00 / $8,994.04	Facility		$226.81	$2,200.00	$8,994.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.63 / $310.58 / $498.13	Professional		$215.63	$310.58	$498.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $387.19 / $387.19 / $387.19	Professional		$387.19	$387.19	$387.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $2,335.00 / $4,229.00	Facility		$1,359.00	$2,335.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.95 / $396.54 / $752.16	Professional		$205.95	$396.54	$752.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $212.17 / $297.04 / $350.08	Facility		$212.17	$297.04	$350.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $275.82 / $342.52 / $431.87	Professional		$275.82	$342.52	$431.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.39 / $390.39 / $467.29	Facility		$390.39	$390.39	$467.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.31 / $433.06 / $828.04	Professional		$244.31	$433.06	$828.04
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 $599.00 / $3,086.00 / $6,295.00	Facility		$599.00	$3,086.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $353.82 / $575.48 / $707.21	Professional		$353.82	$575.48	$707.21