Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,288.25 / $5,495.41	Facility		$537.03	$1,288.25	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $933.25	Professional		$436.52	$602.56	$933.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,398.83 / $4,365.16	Facility		$1,412.54	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $416.87 / $1,288.25	Professional		$354.81	$416.87	$1,288.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $489.78 / $630.96	Facility		$389.05	$489.78	$630.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $549.54 / $645.65	Professional		$436.52	$549.54	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $1,862.09	Facility		$724.44	$724.44	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $691.83 / $5,128.61	Professional		$416.87	$691.83	$5,128.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $213.80	Professional		$32.36	$33.11	$213.80
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 $398.11 / $549.54 / $933.25	Professional		$398.11	$549.54	$933.25