Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $851.14 / $5,248.07	Facility		$158.49	$851.14	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $501.19 / $1,000.00	Professional		$114.82	$501.19	$1,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $229.09	Professional		$107.15	$125.89	$229.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $2,951.21	Facility		$1,348.96	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $501.19 / $691.83	Professional		$120.23	$501.19	$691.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $154.88 / $181.97	Facility		$120.23	$154.88	$181.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $204.17	Professional		$125.89	$173.78	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $229.09 / $229.09	Facility		$34.67	$229.09	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $676.08 / $3,162.28	Professional		$141.25	$676.08	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $954.99 / $3,388.44	Facility		$389.05	$954.99	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $501.19 / $1,071.52	Professional		$138.04	$501.19	$1,071.52