Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,513.56 / $5,495.41	Facility		$562.34	$1,513.56	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $1,174.90	Professional		$549.54	$741.31	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $501.19 / $691.83	Professional		$446.68	$501.19	$691.83
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 $398.11 / $478.63 / $1,000.00	Professional		$398.11	$478.63	$1,000.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $616.60 / $794.33	Facility		$501.19	$616.60	$794.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $691.83 / $812.83	Professional		$501.19	$691.83	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,862.09	Facility		$912.01	$912.01	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $851.14 / $3,467.37	Professional		$512.86	$851.14	$3,467.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $275.42	Professional		$32.36	$33.11	$275.42
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 $467.74 / $676.08 / $1,174.90	Professional		$467.74	$676.08	$1,174.90