Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,778.28 / $3,890.45	Facility		$323.59	$1,778.28	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $331.13 / $575.44	Professional		$275.42	$331.13	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $2,951.21	Facility		$1,348.96	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $331.13 / $467.74	Professional		$275.42	$331.13	$467.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $407.38 / $575.44	Facility		$295.12	$407.38	$575.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $501.19	Professional		$302.00	$407.38	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $1,659.59	Facility		$549.54	$549.54	$1,659.59
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $54.95 / $54.95 / $54.95	Facility	AS	$54.95	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $1,905.46	Professional		$346.74	$549.54	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $302.00	Professional		$32.36	$33.11	$302.00
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 $288.40 / $398.11 / $602.56	Professional		$288.40	$398.11	$602.56