Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.02 / $2,528.00 / $8,740.62	Facility		$200.02	$2,528.00	$8,740.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.74 / $210.94 / $830.31	Professional		$180.74	$210.94	$830.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.25 / $169.25 / $169.25	Professional		$169.25	$169.25	$169.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.56 / $220.15 / $320.79	Professional		$174.56	$220.15	$320.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.66 / $262.79 / $321.19	Facility		$194.66	$262.79	$321.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $194.66 / $253.06 / $311.45	Professional		$194.66	$253.06	$311.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.34 / $239.34 / $301.64	Facility		$239.34	$239.34	$301.64
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $146.80 / $146.80 / $146.80	Facility	62	$146.80	$146.80	$146.80
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $23.49 / $23.49 / $23.49	Facility	AS	$23.49	$23.49	$23.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.81 / $307.68 / $700.00	Professional		$210.81	$307.68	$700.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $253.06	Professional		$32.34	$32.34	$253.06
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.17 / $279.66 / $398.02	Professional		$210.17	$279.66	$398.02