Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,949.84 / $5,495.41	Facility		$380.19	$1,949.84	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $331.13 / $645.65	Professional		$239.88	$331.13	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $288.40 / $549.54	Professional		$229.09	$288.40	$549.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,398.83 / $4,365.16	Facility		$1,479.11	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $346.74 / $562.34	Professional		$229.09	$346.74	$562.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $316.23 / $380.19	Facility		$229.09	$316.23	$380.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $331.13 / $389.05	Professional		$213.80	$331.13	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $436.52 / $1,659.59	Facility		$288.40	$436.52	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $1,737.80	Professional		$257.04	$389.05	$1,737.80
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 $223.87 / $331.13 / $501.19	Professional		$223.87	$331.13	$501.19