Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $2,570.40 / $10,471.29	Facility		$208.93	$2,570.40	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $338.84	Professional		$177.83	$234.42	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,466.84 / $12,022.64	Facility		$2,884.03	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $213.80 / $478.63	Professional		$181.97	$213.80	$478.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $275.42 / $331.13	Facility		$194.98	$275.42	$331.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $338.84	Professional		$223.87	$281.84	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $2,290.87	Facility		$371.54	$371.54	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $309.03 / $1,698.24	Professional		$229.09	$309.03	$1,698.24
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 $186.21 / $239.88 / $407.38	Professional		$186.21	$239.88	$407.38