Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $532.05 / $637.00 / $8,229.00	Facility		$532.05	$637.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $522.69 / $570.10 / $701.22	Professional		$522.69	$570.10	$701.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $703.63 / $703.63 / $703.63	Professional		$703.63	$703.63	$703.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,428.00 / $8,517.00	Facility		$1,643.00	$3,428.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.35 / $480.09 / $741.15	Professional		$407.35	$480.09	$741.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $500.55 / $703.63 / $804.14	Facility		$500.55	$703.63	$804.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $502.59 / $703.63 / $1,005.18	Professional		$502.59	$703.63	$1,005.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $461.67 / $619.97 / $1,117.44	Facility		$461.67	$619.97	$1,117.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.96 / $616.01 / $1,183.07	Professional		$462.96	$616.01	$1,183.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $345.04	Professional		$32.34	$32.34	$345.04
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $457.90 / $572.38 / $903.94	Professional		$457.90	$572.38	$903.94