Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,513.56 / $5,495.41	Facility		$457.09	$1,513.56	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $467.74 / $691.83	Professional		$371.54	$467.74	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $436.52 / $724.44	Professional		$218.78	$436.52	$724.44
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 $302.00 / $354.81 / $794.33	Professional		$302.00	$354.81	$794.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $436.52 / $562.34	Facility		$346.74	$436.52	$562.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $489.78 / $575.44	Professional		$346.74	$489.78	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $1,862.09	Facility		$645.65	$645.65	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $537.03 / $3,162.28	Professional		$346.74	$537.03	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $223.87	Professional		$32.36	$33.11	$223.87
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 $331.13 / $426.58 / $758.58	Professional		$331.13	$426.58	$758.58