Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.30 / $722.29 / $8,229.00	Facility		$505.30	$722.29	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $492.90 / $573.69 / $797.44	Professional		$492.90	$573.69	$797.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $464.54 / $464.54 / $470.59	Professional		$464.54	$464.54	$470.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,010.00 / $2,045.00 / $2,978.00	Facility		$1,010.00	$2,045.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $435.55 / $549.14 / $782.90	Professional		$435.55	$549.14	$782.90
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $653.33 / $829.39 / $1,174.34	Professional	50	$653.33	$829.39	$1,174.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $378.64 / $605.82 / $712.74	Facility		$378.64	$605.82	$712.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $449.02 / $623.64 / $918.72	Professional		$449.02	$623.64	$918.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.27 / $571.57 / $819.65	Facility		$296.27	$571.57	$819.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.32 / $726.40 / $2,305.89	Professional		$426.32	$726.40	$2,305.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $410.56	Professional		$32.34	$32.34	$410.56
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $459.98 / $602.63 / $912.66	Professional		$459.98	$602.63	$912.66