Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,000.00 / $5,128.61	Facility		$151.36	$1,000.00	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $295.12 / $562.34	Professional		$141.25	$295.12	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $269.15 / $323.59	Professional		$173.78	$269.15	$323.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,570.40 / $12,022.64	Facility		$1,412.54	$2,570.40	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $331.13	Professional		$154.88	$213.80	$331.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $190.55 / $229.09	Facility		$134.90	$190.55	$229.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $234.42	Professional		$154.88	$194.98	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $1,318.26	Facility		$257.04	$257.04	$1,318.26
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $51.29 / $51.29 / $51.29	Facility	53	$51.29	$51.29	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $323.59 / $1,584.89	Professional		$190.55	$323.59	$1,584.89
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 $158.49 / $275.42 / $501.19	Professional		$158.49	$275.42	$501.19