Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.43 / $484.20 / $4,311.47	Facility		$307.43	$484.20	$4,311.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.75 / $383.52 / $596.84	Professional		$280.75	$383.52	$596.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $184.51 / $184.51 / $184.51	Professional		$184.51	$184.51	$184.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.50 / $273.26 / $447.82	Professional		$225.50	$273.26	$447.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $303.69 / $413.31 / $476.79	Facility		$303.69	$413.31	$476.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $351.31 / $472.35 / $823.62	Professional		$351.31	$472.35	$823.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.93 / $543.20 / $543.20	Facility		$285.93	$543.20	$543.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.82 / $476.30 / $846.80	Professional		$306.82	$476.30	$846.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,913.00 / $5,654.00	Facility		$523.00	$1,913.00	$5,654.00
United Facility/Professional Professional Modifier Low / Median / High Price $363.11 / $527.77 / $888.38	Professional		$363.11	$527.77	$888.38