Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.80 / $623.64 / $2,747.00	Facility		$461.80	$623.64	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.26 / $510.39 / $684.81	Professional		$400.26	$510.39	$684.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $510.00 / $510.00 / $510.00	Professional		$510.00	$510.00	$510.00
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 $346.64 / $420.05 / $752.80	Professional		$346.64	$420.05	$752.80
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $519.97 / $630.07 / $1,129.20	Professional	50	$519.97	$630.07	$1,129.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $406.44 / $571.20 / $652.79	Facility		$406.44	$571.20	$652.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $447.09 / $576.86 / $918.00	Professional		$447.09	$576.86	$918.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $447.91 / $750.72 / $1,117.44	Facility		$447.91	$750.72	$1,117.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.77 / $612.42 / $2,111.02	Professional		$403.77	$612.42	$2,111.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $362.93	Professional		$32.34	$32.34	$362.93
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 $477.92 / $614.47 / $1,145.86	Professional		$477.92	$614.47	$1,145.86