Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.32 / $530.57 / $5,217.00	Facility		$447.32	$530.57	$5,217.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.55 / $469.11 / $569.05	Professional		$346.55	$469.11	$569.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.12 / $208.12 / $208.12	Professional		$208.12	$208.12	$208.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $5,212.00 / $11,253.00	Facility		$4,014.00	$5,212.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.42 / $353.76 / $575.66	Professional		$286.42	$353.76	$575.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $408.87 / $569.30 / $650.64	Facility		$408.87	$569.30	$650.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $406.65 / $569.30 / $813.30	Professional		$406.65	$569.30	$813.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $460.37 / $522.32 / $5,217.00	Facility		$460.37	$522.32	$5,217.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.65 / $474.19 / $899.37	Professional		$336.65	$474.19	$899.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $246.39	Professional		$32.34	$32.34	$246.39
United Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $668.00 / $3,481.00	Facility		$59.00	$668.00	$3,481.00
United Facility/Professional Professional Modifier Low / Median / High Price $325.39 / $433.60 / $726.47	Professional		$325.39	$433.60	$726.47